Active NPI
Dana R Irwin
- Psychologist
- Du Bois, PA
National Provider Identifier
1720189871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS007443L
- Practice address
- 100 Caldwell Drive
Clearfield Jefferson CMHC Inc
Du Bois, PA 15801 - Phone
- (814) 371-1100
- Fax
- (814) 375-0120
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- 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 | PS007443L | PA | Primary |
Addresses
Primary practice location
100 Caldwell Drive
Clearfield Jefferson CMHC Inc
Du Bois, PA 15801
Mailing address
100 Caldwell Drive
Du Bois, PA 15801
Phone (814) 371-1100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS007443L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720189871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CALDWELL DRIVE",
"city": "DU BOIS",
"state": "PA",
"postal_code": "15801",
"telephone_number": "814-371-1100",
"fax_number": "814-375-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CALDWELL DRIVE",
"address_2": "CLEARFIELD JEFFERSON CMHC INC",
"city": "DU BOIS",
"state": "PA",
"postal_code": "15801",
"telephone_number": "814-371-1100",
"fax_number": "814-375-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "DANA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS007443L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Du Bois, PA
- Interim Healthcare of Western Pennsylvania Inc
- Interventional & Pulmonary Critical Care Associates of Ce
- Stephen B Iorfido, D.O.
- Suzanne Marie Iorfido, DO
- Irad Professionals Inc
- J. Rice Oral Maxillofacial and Aesthetic Facial Surgery P.C.
- Jenna Irene Jacobson, BCBA
- Michelle Evelyn Jacobson, CRNP
- Jawahar Suvarnakar, MD Inc.
- Dawn Renee Jeannerat, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.