Individual provider Active NPI

Christopher A Sowley, CP

  • Clinical Psychologist
  • White Plains, NY
National Provider Identifier
1023184066
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009041 Issued in NY
Practice address
23 Old Mamaroneck Rd
Suite 2
White Plains, NY 10605-2061
Phone
(914) 761-2933
Fax
(914) 761-3034
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 009041 NY
Clinical Psychologist 103TC0700X 009041 NY Primary

Addresses

Primary practice location

23 Old Mamaroneck Rd
Suite 2
White Plains, NY 10605-2061

Mailing address

4555 Henry Hudson Pkwy
Apt 801
Bronx, NY 10471-3836
Phone (718) 543-3714

Other identifiers 1

IdentifierTypeStateIssuer
01592938MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009041NYMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1023184066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 HENRY HUDSON PKWY",
            "address_2": "APT 801",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713836",
            "telephone_number": "718-543-3714",
            "fax_number": "718-543-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 OLD MAMARONECK RD",
            "address_2": "SUITE 2",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052061",
            "telephone_number": "914-761-2933",
            "fax_number": "914-761-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "credential": "CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "009041",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01592938",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.