Individual
DR. KELLY L. IRVINE
Active
Individual
DR. KELLY L. IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
2018042229
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116730
BHN
AZ
05
—
141592
—
LA
01
—
2128566
CIGNA
AZ
01
—
228289
ONE HEALTH & GWL
AZ
01
—
291968
MHN
AZ
01
—
4142
CPQ
—
01
—
415
IA HSP #
IA
01
—
50583
NRHSP IN PSYCH
—
01
—
5457314
FIRST HEALTH/CNN
AZ
05
—
803925
—
AZ
01
—
86-1043861
MAGELAN, BIODYNE, AETNA
AZ
01
—
APA MEMBERSHIP #
69103091
AZ
01
—
AZ0616050
BC/BS
AZ
01
—
NATIONAL REGISTER #
50583
AZ
Enumeration date
11/02/2006
Last updated
08/28/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up