Ira Haym Pearlman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000975 Issued in VA

Practice address

1709 Colley Ave
Ste 202
Norfolk, VA 23517-1675

Phone

(757) 625-5623

Fax

(757) 627-1557

NPI assigned

May 23, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447253695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 COLLEY AVE",
            "address_2": "STE 202",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171675",
            "telephone_number": "757-625-5623",
            "fax_number": "757-627-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 COLLEY AVE",
            "address_2": "STE 202",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171675",
            "telephone_number": "757-625-5623",
            "fax_number": "757-627-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLMAN",
        "first_name": "IRA",
        "middle_name": "HAYM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "066475",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "018993",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA BEH. HEALTH",
            "identifier": "080016",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PBP Psychotherapy LTD
• Peaced Together Counseling & Consultation, PLLC
• Hedeliza T Peak, R.PH.
• Mitchell Todd Pearce, IDC
• Pearle Vision Inc
• Lauren Marie Pearson, PA
• Rashard Ausborn Pearson, LPC
• Sean Gregory Pearson, IDC
• Walter Norrell Peavler, DMD
• Linda Anna Peck, CMT

• Clinical Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Psychologist in Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.