Lisa M Irwin

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18452 Issued in CA

Practice address

150 E Meda Ave
Ste. 270
Glendora, CA 91741-2689

Phone

(626) 806-4617

NPI assigned

Sep 26, 2012

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1659622991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E MEDA AVE",
            "address_2": "STE. 270",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412689",
            "telephone_number": "626-806-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E MEDA AVE",
            "address_2": "STE. 270",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412689",
            "telephone_number": "626-806-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Nursing and Rehab Care of Glendora Inc.
• Integrative Urgent Care, Inc. (Integrative Urgent Care)
• Integrity Home Care Services LLC (Homewatch CareGivers of Glendora)
• Intervalley Anesthesia Medical Corporation
• Ibrahim Irawan, D.D.S.
• Modesty Joy Isaguirre, LE
• Earl Scott Isbell, MD
• Jessica Ishak
• Haley J Isman, RADT
• Jacob Girgis MD Inc

• Clinical Psychologist in Glendora, CA
• Providers in Glendora, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.