Mary E Irwin Clay, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

91-20P Issued in AR

Practice address

3291 S Thompson St
Springdale, AR 72764-7043

Phone

(479) 751-3350

NPI assigned

Mar 21, 2006

Last updated

Mar 31, 2008By the provider in NPPES

Sex

Female

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1518926336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 S THOMPSON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647043",
            "telephone_number": "479-751-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 S THOMPSON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647043",
            "telephone_number": "479-751-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN CLAY",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "91-20P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7789378",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP HEALTH",
            "identifier": "IRWCLAME",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "50047000000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrative Learning Consultants
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• Intuitus LLC
• Terra Pieper Ippolito, OTR
• David Michael Irico
• Amy Marie Irwin, M.D.
• Abby Ivy
• Aaliyah Jackson
• Amy Elizabeth Jackson, MHPP
• Hugh H Jackson, MD

• Psychologist in Springdale, AR
• Providers in Springdale, AR by specialty
• Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.