DR. MARILYNN S. IRVINE PH.D., MFT - NPI 1003849274 - Marriage & Family Therapist in Fair Oaks, CA

Q: What is Marilynn Irvine's NPI number?

The NPI number for Marilynn Irvine is 1003849274. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Q: What is Marilynn Irvine's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Marilynn Irvine was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Marilynn S. Irvine Ph.d., Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARILYNN S. IRVINE PH.D., MFT (NPI 1003849274) is an individual marriage & family therapist in Fair Oaks, California, licensed in California (MC18607) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1003849274

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDR. MARILYNN S. IRVINECredential: PH.D., MFT

Location Address4112 PENNSYLVANIA AVEFair Oaks, CA 95628-7413

Mailing Address4112 Pennsylvania AveFair Oaks, CA 95628-7413 · (916) 962-0218 · Fax (916) 962-1055

Phone(916) 962-0218

Fax(916) 962-1055

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003849274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MC18607

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4112 PENNSYLVANIA AVE, Fair Oaks, CA 95628

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marilynn S. Irvine Ph.d., Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678051331

PECOS Enrollment IDI20260203002000

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LEROY W. 'MIC' MCPHERSON M.F.T.

Marriage & Family Therapist