Irene a Calhoun PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS004656L Issued in PA

Legal business name

IRENE A CALHOUN PHD PC

Practice address

3701 Burgoon Road
Altoona, PA 16602-1715

Phone

(814) 941-2377

Fax

(814) 944-0419

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Irene Amanda Calhoun, PHD

Title

Ceo

Phone

(814) 941-2377

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063570356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 BURGOON ROAD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021715",
            "telephone_number": "814-941-2377",
            "fax_number": "814-944-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 BURGOON ROAD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021715",
            "telephone_number": "814-941-2377",
            "fax_number": "814-944-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE A CALHOUN PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-941-2377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004656L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTHCARE",
            "identifier": "206067",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "642738",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joann Dicosimo Ivory, RN,C
• J C Blair Memorial Hospital (Penn Highlands Huntingdon)
• J C Blair Memorial Hospital (Penn Highlands Huntingdon)
• J C Blair Memorial Hospital (Penn Highlands Huntingdon)
• J. C. Blair Memorial Hospital (Penn Highlands Healthcare)

• Clinical Psychologist in Altoona, PA
• Providers in Altoona, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.