Active NPI
Joseph Ryan McCowan, PSYD
- Psychologist
- Venice, CA
National Provider Identifier
1033593884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 29284
- Practice address
- 204 Hampton Dr
Venice, CA 90291-8633 - Phone
- (323) 840-4758
- NPI assigned
- Jul 10, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 29284 | CA | Primary |
Addresses
Primary practice location
204 Hampton Dr
Venice, CA 90291-8633
Mailing address
204 Hampton Dr
Venice, CA 90291-8633
Phone (310) 396-6468
Other practice location 1
1453 16th St
Santa Monica, CA 90404-2715
Phone (310) 264-6646
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1033593884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 HAMPTON DR",
"city": "VENICE",
"state": "CA",
"postal_code": "902918633",
"telephone_number": "310-396-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 HAMPTON DR",
"city": "VENICE",
"state": "CA",
"postal_code": "902918633",
"telephone_number": "323-840-4758"
}
],
"practiceLocations": [
{
"address_1": "1453 16th St",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904042715",
"country_code": "US",
"telephone_number": "310-264-6646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOWAN",
"first_name": "JOSEPH",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-10",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "29284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.