Organization Active NPI

Kathleen Price Irvin

  • Adult Mental Health Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1154877835
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
6801058684 Issued in MI
Legal business name
KATHLEEN PRICE IRVIN
Practice address
2002 Hogback Rd
#15
Ann Arbor, MI 48105-9736
Phone
(734) 383-4473
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Ms. Kathleen Price Irvin, LMSW
Title
Clinical Social Worker
Phone
(734) 383-4473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 6801058684 MI Primary

Addresses

Primary practice location

2002 Hogback Rd
#15
Ann Arbor, MI 48105-9736

Mailing address

2305 Fernwood Ave
Ann Arbor, MI 48104-5256
Phone (734) 383-4473

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1154877835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 FERNWOOD AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045256",
            "telephone_number": "734-383-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOGBACK RD",
            "address_2": "#15",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059736",
            "telephone_number": "734-383-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN PRICE IRVIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "PRICE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "734-383-4473",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6801058684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.