Mark Raymond McGowan, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS016568 Issued in PA

Practice address

1176 Grant St
Suite 2220
Indiana, PA 15701-2870

Phone

(724) 599-4300

Fax

(724) 357-6946

NPI assigned

Apr 2, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282435200000",
    "number": "1023280732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 GRANT ST",
            "address_2": "SUITE 2220",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012870",
            "telephone_number": "724-599-4300",
            "fax_number": "724-357-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 GRANT ST",
            "address_2": "SUITE 2220",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012870",
            "telephone_number": "724-599-4300",
            "fax_number": "724-357-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "MARK",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2010-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa S. McEvoy
• Alison Davis McFarland, PT
• Liam Davis McFarlane
• Mary C McFeaters, OTR
• Corri A McGinnis, BS
• Colleen McHugh, CRNA
• Suzette L McKendrick, BS
• Stephanie Lynn McKeta, D.P.T.
• Craig C McKirgan, D.O.
• Riley Nicole McLaughlin

• Psychologist in Indiana, PA
• Providers in Indiana, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2010; 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.