NPIMap

Organization Active NPI

Abby Bowen-Rodda PH.D., PC

  • Clinical Psychologist
  • Casper, WY
National Provider Identifier
1023289485
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
218 Issued in WY
Legal business name
ABBY BOWEN-RODDA PH.D., PC
Practice address
940 E 3Rd St
Ste 107
Casper, WY 82601-3237
Phone
(307) 577-4247
Fax
(307) 577-4249
NPI assigned
Mar 13, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Abby Bowen-Rodda, PH.D.NPI 1013060193
Title
Owner
Phone
(307) 577-4247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 218 WY Primary

Addresses

Primary practice location

940 E 3Rd St
Ste 107
Casper, WY 82601-3237

Mailing address

940 E 3Rd St
Ste 107
Casper, WY 82601-3237
Phone (307) 577-4247

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1023289485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST",
            "address_2": "STE 107",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013237",
            "telephone_number": "307-577-4247",
            "fax_number": "307-577-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST",
            "address_2": "STE 107",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013237",
            "telephone_number": "307-577-4247",
            "fax_number": "307-577-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBY BOWEN-RODDA PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "BOWEN-RODDA",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-577-4247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.