Individual provider Active NPI

Damani Paul Irby, MS

  • Professional Counselor
  • Philadelphia, PA
National Provider Identifier
1639503154
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4510 Frankford Ave
2ND Floor
Philadelphia, PA 19124-3602
Phone
(215) 831-9882
Fax
(215) 831-9887
NPI assigned
Sep 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4510 Frankford Ave
2ND Floor
Philadelphia, PA 19124-3602

Mailing address

432 N 6TH St
Philadelphia, PA 19123-4004
Phone (215) 925-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229000617 PA Practitioner - Mental Health Counselor 3779847223 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Psych Choices of the Delaware Valley, LLC Professional CurrentSince Nov 22, 2024 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Jan 8, 2024 Accepting new patients

Locations

2002 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 626-8085

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

4510 Frankford Ave
Fl 2
Philadelphia, PA 19124
Phone (215) 831-9302

1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1639503154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 N 6TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234004",
            "telephone_number": "215-925-2400",
            "fax_number": "215-925-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 FRANKFORD AVE",
            "address_2": "2ND FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191243602",
            "telephone_number": "215-831-9882",
            "fax_number": "215-831-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRBY",
        "first_name": "DAMANI",
        "middle_name": "PAUL",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.