Active NPI
Alicia Ann Irvin, PH.D.
- Psychologist
- Vinita, OK
National Provider Identifier
1689877292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 442104 E. 250 Rd
Vinita, OK 74301 - Phone
- (918) 256-7841
- NPI assigned
- Jun 9, 2007
- Last updated
- Sep 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
442104 E. 250 Rd
Vinita, OK 74301
Mailing address
8243 S College Ave
Tulsa, OK 74137-1321
Phone (918) 816-7597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1096 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Transition's Recovery Center, Vinita
- Psychiatric Hospital Unit
- Vinita, OK
- NPI 1407061088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1689877292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8243 S COLLEGE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741371321",
"telephone_number": "918-816-7597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "442104 E. 250 RD",
"city": "VINITA",
"state": "OK",
"postal_code": "74301",
"telephone_number": "918-256-7841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVIN",
"first_name": "ALICIA",
"middle_name": "ANN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-09",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vinita, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.