Kelly L. Irvine in Columbia - Cognitive & Behavioral
Kelly L. Irvine - NPI 1134207269
Kelly L. Irvine is a Cognitive & Behavioral in Columbia, Missouri. Kelly L. Irvine practices all healthcare services and medical treatments related to Cognitive & Behavioral. The NPI Number for Kelly L. Irvine is 1134207269. The last update date is 2019-08-28.
Kelly L. Irvine's current location address is 1000 W Nifong Blvd Bldg 6, Columbia, Missouri. You can contact this provider via phone number 8884031071. The mailing address for Kelly L. Irvine is 1000 W Nifong Blvd Bldg 6, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly L. Irvine |
|---|---|
| Address | 1000 W Nifong Blvd Bldg 6, Columbia, Missouri |
| Phone Number | 8884031071 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1134207269 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2019-08-28 |
Provider Mailing Address Detail
| Address | 1000 W Nifong Blvd Bldg 6 |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652035615 |
| Phone Number | 8884031071 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cognitive & Behavioral |
|---|---|
| Taxonomy | 103Tb0200X |
| Licence No | 2018042229 |
|
Definition: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50583 | NRHSP IN PSYCH | ||
| NATIONAL REGIST | AZ | 50583 | |
| APA MEMBERSHIP | AZ | 69103091 | |
| AZ0616050 | AZ | BC/BS | |
| 116730 | AZ | BHN | |
| 5457314 | AZ | FIRST HEALTH/CNN | |
| 415 | IA | IA HSP # | |
| 141592 | LA | -- | |
| 803925 | AZ | -- | |
| 2128566 | AZ | CIGNA |
Post Comment/ Review Below
What is the Kelly L. Irvine's unique identification number?
The Kelly L. Irvine has been assigned the NPI (National Provider Identifier) Number 1134207269 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Kelly L. Irvine is geographically located?
The Kelly L. Irvine is physically situated at the following location: 1000 W Nifong Blvd Bldg 6, Columbia, MO, 652035615.
What is Kelly L. Irvine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly L. Irvine is Cognitive & Behavioral, and the taxonomy code that classifies this field of practice is 103Tb0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134207269 to Kelly L. Irvine?
The Centers for Medicare & Medicaid Services originally issued the 1134207269 to Kelly L. Irvine on 2006-11-02.
As of what date was the information regarding Kelly L. Irvine, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly L. Irvine, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-08-28.