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IRBY PSYCHOLOGICAL SERVICES LLC NPI 1568093912


NPI Information

NPI: 1568093912
Provider Name: IRBY PSYCHOLOGICAL SERVICES, LLC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
7075 GOLDEN OAKS LOOP W
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 228-0130
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IRBY PSYCHOLOGICAL SERVICES, LLC is a psychologist in Southaven, MS. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. IRBY PSYCHOLOGICAL SERVICES, LLC NPI is 1568093912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7075 GOLDEN OAKS LOOP W
SOUTHAVEN, MS
ZIP 38671-010
Phone: (662) 228-0130
Fax: (678) 868-2843

The provider's authorized official is Sarah Irby .
The authorized official title is Owner and has the following contact phone number (662) 228-0130.

The enumeration date for this NPI number is 2/3/2020 and was last updated on 2/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
2103K00000XBehavior AnalystNo
3103TC2200XPsychologistClinical Child & AdolescentNo
4103T00000XPsychologistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q017484MEDICAIDTENNESSEE
205431201MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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