Jean Darlene Irish, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003087 Issued in CT

Practice address

120 Park Lane Rd
Suite A102
New Milford, CT 06776-2444

Phone

(860) 354-4135

Fax

(860) 354-4238

NPI assigned

Dec 22, 2005

Last updated

Feb 1, 2011By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1316924160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PARK LANE RD",
            "address_2": "SUITE A102",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762444",
            "telephone_number": "860-354-4135",
            "fax_number": "860-354-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PARK LANE RD",
            "address_2": "SUITE A102",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762444",
            "telephone_number": "860-354-4135",
            "fax_number": "860-354-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRISH",
        "first_name": "JEAN",
        "middle_name": "DARLENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in New Milford, CT
• Providers in New Milford, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.