Active NPI
Juliana Bowland
- Psychologist
- Berwyn, PA
National Provider Identifier
1043883945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS020084
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS020084 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychological Assessment and Therapy Services, LLC | Current | 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.
-
- Clinical Neuropsychologist
- Berwyn, PA
- NPI 1104202902
-
- Clinical Psychologist
- New York, NY
- NPI 1982476685
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.