Individual provider Active NPI

Juliana Bowland

  • Psychologist
  • Berwyn, PA
National Provider Identifier
1043883945
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS020084 Issued in PA
Practice address
1199 Lancaster Ave Ste 105
Berwyn, PA 19312-1341
Phone
(410) 443-6692
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS020084 PA Primary

Addresses

Primary practice location

1199 Lancaster Ave Ste 105
Berwyn, PA 19312-1341

Mailing address

1199 Lancaster Ave Ste 105
Berwyn, PA 19312-1341
Phone (410) 443-6692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912003923 PA Practitioner - Clinical Psychologist 8224578588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropsychological Assessment and Therapy Services LLCGroup PAC ID 0648577361, 4 clinicians

Practice addresses (Care Compare)

1199 Lancaster Ave
Suite 105
Berwyn, PA 19312-1341
Phone (610) 241-4331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS020084PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychological Assessment and Therapy Services, LLC CurrentSince Aug 1, 2024 Accepting new patients
St Health TX, P.a. Past Accepting new patients

Locations

1199 Lancaster Ave
Ste 110
Berwyn, PA 19312
Phone (610) 241-4331

1199 Lancaster Ave
Ste 105
Berwyn, PA 19312
Phone (610) 241-4331

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1043883945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 LANCASTER AVE STE 105",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121341",
            "telephone_number": "410-443-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 LANCASTER AVE STE 105",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121341",
            "telephone_number": "410-443-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLAND",
        "first_name": "JULIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

Verify at the official NPI Registry.