DR. KELLY L. IRVINE PSYD
NPI 1134207269
Psychologist - Cognitive & Behavioral in Columbia, MO
NPI Status: Active since November 02, 2006
Contact Information
1000 W NIFONG BLVD BLDG 6
COLUMBIA, MO
ZIP 65203
Phone: (888) 403-1071
- Individual
- Female
- Psychologist
- Cognitive & Behavioral
- Accepts Insurance
- PECOS Enrolled
About KELLY IRVINE
This page provides the complete NPI Profile along with additional information for Kelly Irvine, a provider established in Columbia, Missouri with a medical specialization in Psychologist, focusing in cognitive & behavioral . The healthcare provider is registered in the NPI registry with number 1134207269 assigned on November 2006. The practitioner's primary taxonomy code is 103TB0200X with license number 2018042229 (MO). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1134207269
- Provider Name
- DR. KELLY L. IRVINE PSYD
- Other Name
- DR. KELLY L. MOYNIHAN PSYD
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1000 W NIFONG BLVD BLDG 6 COLUMBIA, MO 65203
- Location Phone
- (888) 403-1071
- Mailing Address
- 1800 COMMUNITY CLINTON, MO 64735
- Mailing Phone
- (660) 890-8156
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-02-2006
- Last Update Date
- 08-28-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Cognitive & Behavioral
- Taxonomy Code
- 103TB0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2018042229
- License State
- MO
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Standard - EPO
- Balance by Medica Silver $0 Copay PCP Visits - EPO
- Balance by Medica Silver Share - EPO
- Balance by Medica Silver Standard - EPO
- Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Essential (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2128566 | OTHER (01) | AZ | CIGNA |
| 5457314 | OTHER (01) | AZ | FIRST HEALTH/CNN |
| 86-1043861 | OTHER (01) | AZ | MAGELAN, BIODYNE, AETNA |
| 803925 | MEDICAID (05) | AZ | |
| 291968 | OTHER (01) | AZ | MHN |
| 4142 | OTHER (01) | CPQ | |
| AZ0616050 | OTHER (01) | AZ | BC/BS |
| 116730 | OTHER (01) | AZ | BHN |
| APA MEMBERSHIP # | OTHER (01) | AZ | 69103091 |
| 141592 | MEDICAID (05) | LA | |
| 228289 | OTHER (01) | AZ | ONE HEALTH & GWL |
| 415 | OTHER (01) | IA | IA HSP # |
| 50583 | OTHER (01) | NRHSP IN PSYCH | |
| NATIONAL REGISTER # | OTHER (01) | AZ | 50583 |
Medicare Participation & PECOS Enrollment Status
Kelly Irvine is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. KELLY L. IRVINE PSYD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134207269, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
COLUMBIA, MO 65203
COLUMBIA, MO 65203
COLUMBIA, MO 65203
COLUMBIA, MO 65203
COLUMBIA, MO 65203
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134207269, enumerated as an "individual" on November 02, 2006.
The provider is located at 1000 W NIFONG BLVD BLDG 6 COLUMBIA, MO 65203 and the phone number is (888) 403-1071.
Psychologist with taxonomy code 103TB0200X and a focus in Cognitive & Behavioral.
The provider might be accepting Accepts: Medica, UnitedHealthcare, Cigna, Medicare,. Please consult your insurance carrier or call the provider to verify.
