Jennifer Irvin, Psy.D
Counselor, Mental Health in Philadelphia, PA. Individual provider (NPI-1).
NPI number1669989745
StatusActive
Last updated in NPPESMay 13, 2021
Details
- NPI
- 1669989745
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Irvin
- Credential
- Psy.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2018
- Certification date
- May 13, 2021
- Last updated
- May 13, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1315 Windrim AvePhiladelphia, PA 19141-2710
Phone 215-226-7100
Mailing address
1315 Windrim AvePhiladelphia, PA 19141-2710
Phone 215-226-7100
Other practice locations
801 Old York Rd
Jenkintown, PA 19046-1611
Jenkintown, PA 19046-1611
Phone 610-644-6464
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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