Sarah Irby, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

58-1020 Issued in MS

Practice address

5960 Getwell Rd Ste 212D
Southaven, MS 38672-7320

Phone

(662) 228-0130

Fax

(678) 868-2843

NPI assigned

Nov 2, 2013

Last updated

May 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Irby Psychological Services, LLC

  • Psychologist
  • Southaven, MS
  • NPI 1568093912
  NPD Authorized official

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1275962045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 GETWELL RD STE 212D",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727320",
            "telephone_number": "662-228-0130",
            "fax_number": "678-868-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 GETWELL RD STE 212D",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727320",
            "telephone_number": "662-228-0130",
            "fax_number": "678-868-2843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7075 Golden Oaks Loop W",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719010",
            "country_code": "US",
            "telephone_number": "662-228-5708",
            "fax_number": "678-868-2843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRBY",
        "first_name": "SARAH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P0000003313",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MS",
            "license": "58-1020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q017484",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02426331",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Issues of Life, Inc.

• Clinical Child & Adolescent Psychologist in Southaven, MS
• Providers in Southaven, MS by specialty
• Clinical Child & Adolescent Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.