Organization Active NPI

Irving S Kolin MD PA

  • Psychiatry Physician
  • Winter Park, FL
National Provider Identifier
1619012705
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0014534 Issued in FL
Legal business name
IRVING S KOLIN MD PA
Practice address
1065 W. Morse Blvd, Suite 202
Winter Park, FL 32789-3747
Phone
(407) 644-1122
Fax
(407) 644-6554
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Irving S Kolin, MD
Title
President
Phone
(407) 644-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X ME0014534 FL Primary

Addresses

Primary practice location

1065 W. Morse Blvd, Suite 202
Winter Park, FL 32789-3747

Mailing address

1065 W. Morse Blvd, Suite 202
Winter Park, FL 32789-3747
Phone (407) 644-1122

National Provider Directory

National Provider Directory

Locations

1065 W Morse Blvd
Ste 202
Winter Park, FL 32789
Phone (407) 644-1122

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1619012705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 W. MORSE BLVD, SUITE 202",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893747",
            "telephone_number": "407-644-1122",
            "fax_number": "407-644-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 W. MORSE BLVD, SUITE 202",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893747",
            "telephone_number": "407-644-1122",
            "fax_number": "407-644-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING S KOLIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "KOLIN",
        "authorized_official_first_name": "IRVING",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-644-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0014534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.