Organization Active NPI

Neal R. Bowen, Psy.D., P.C.

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1033233556
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NEAL R. BOWEN, PSY.D., P.C.
Practice address
1801 N Mill St
Suite C
Naperville, IL 60563-1274
Phone
(630) 717-7449
Fax
(630) 717-9140
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Neal Ross Bowen, PSY.D.
Title
Clinical Psychologist
Phone
(630) 717-7449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X IL Primary

Addresses

Primary practice location

1801 N Mill St
Suite C
Naperville, IL 60563-1274

Mailing address

1801 N Mill St
Suite C
Naperville, IL 60563-1274
Phone (630) 717-7449

Other identifiers 1

IdentifierTypeStateIssuer
1063585933OtherILPERSONAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

1801 N Mill St
Ste C
Naperville, IL 60563
Phone (630) 717-5911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033233556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N MILL ST",
            "address_2": "SUITE C",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631274",
            "telephone_number": "630-717-7449",
            "fax_number": "630-717-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N MILL ST",
            "address_2": "SUITE C",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631274",
            "telephone_number": "630-717-7449",
            "fax_number": "630-717-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL R. BOWEN, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "630-717-7449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1063585933",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.