Organization Active NPI

Irby Psychological Services, LLC

  • Psychologist
  • Southaven, MS
National Provider Identifier
1568093912
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
IRBY PSYCHOLOGICAL SERVICES, LLC
Practice address
5960 Getwell Rd Ste 212D
Southaven, MS 38672-7320
Phone
(662) 228-0130
Fax
(678) 868-2843
NPI assigned
Feb 3, 2020
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Dr. Sarah Irby, PHDNPI 1275962045
Title
Owner
Phone
(662) 228-0130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Psychologist 103T00000X Primary
Clinical Child & Adolescent Psychologist 103TC2200X
Behavior Analyst 103K00000X

Addresses

Primary practice location

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

Mailing address

5960 Getwell Rd Ste 212D
Southaven, MS 38672-7320
Phone (662) 228-0130

Other practice location 1

134 Sunflower Ave
Clarksdale, MS 38614-4219
Phone (662) 228-0130

Other practice location 2

301 Hospital Dr Ste B
Cleveland, MS 38732-2358
Phone (662) 228-0130

Other practice location 3

7075 Golden Oaks Loop W
Southaven, MS 38671-9010
Phone (662) 228-0130

Other identifiers 2

IdentifierTypeStateIssuer
05431201MedicaidMS
Q017484MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frontdesk@irbypsychservices.net Direct

National Provider Directory

National Provider Directory

Locations

134 Sunflower Ave
Clarksdale, MS 38614
Phone (662) 228-0130

301 Hospital Dr
Ste B
Cleveland, MS 38732
Phone (662) 228-0130

5960 Getwell Rd
Ste 212D
Southaven, MS 38672
Phone (662) 228-0130

7075 Golden Oaks Loop W
Southaven, MS 38671
Phone (662) 228-0130

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1568093912",
    "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": "134 Sunflower Ave",
            "address_purpose": "LOCATION",
            "city": "Clarksdale",
            "state": "MS",
            "postal_code": "386144219",
            "country_code": "US",
            "telephone_number": "662-228-0130",
            "fax_number": "678-868-2843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Hospital Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "MS",
            "postal_code": "387322358",
            "country_code": "US",
            "telephone_number": "662-228-0130",
            "fax_number": "678-868-2843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7075 Golden Oaks Loop W",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719010",
            "country_code": "US",
            "telephone_number": "662-228-0130",
            "fax_number": "678-868-2843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IRBY PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "IRBY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-228-0130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05431201",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q017484",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@irbypsychservices.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7075 Golden Oaks Loop W",
            "city": "Southaven",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386719010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • 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.