Active NPI
Ira Orchin, PHD
- Psychologist
- Bala Cynwyd, PA
National Provider Identifier
1114138575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS004607L
- Practice address
- 29 Bala Ave
Suite 109
Bala Cynwyd, PA 19004 - Phone
- (610) 642-8345
- Fax
- (215) 772-1816
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS004607L | PA | Primary |
Addresses
Primary practice location
29 Bala Ave
Suite 109
Bala Cynwyd, PA 19004
Mailing address
29 Bala Ave
Suite 109
Bala Cynwyd, PA 19004
Phone (610) 642-8345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2016 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS004607L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114138575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BALA AVE",
"address_2": "SUITE 109",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "19004",
"telephone_number": "610-642-8345",
"fax_number": "215-772-1816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BALA AVE",
"address_2": "SUITE 109",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "19004",
"telephone_number": "610-642-8345",
"fax_number": "215-772-1816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORCHIN",
"first_name": "IRA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS004607L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.