Irby Psychological Services, Llc

LBN: Irby Psychological Services, Llc
Irby Psychological Services, Llc is an health care organization with primary practice located at 5960 Getwell Rd Ste 212D , Southaven MS 38672-7320. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Irby Psychological Services, Llc can be contacted via phone (662) 228-0130, or through Irby, Sarah via phone (662) 228-0130.

Contact Information

Primary practice address
5960 Getwell Rd Ste 212D Southaven MS 38672-7320
Phone: (662) 228-0130
Fax: (678) 868-2843
Website:
Map and Directions
Authorized official contact:
Name: Irby, Sarah PHD
Phone: (662) 228-0130

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1568093912
LBN Legal business name Irby Psychological Services, Llc
DBA Doing business as
Authorized official Irby, Sarah PHD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2020
Last updated May 21st, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568093912 NPPES
Mississippi MEDICAID 05431201
Mississippi MEDICAID Q017484

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