Organization Active NPI

Gigi P Stowe PHD Psychological Services LLC

  • Clinical Psychologist
  • Bloomington, IN
National Provider Identifier
1063689545
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042141A Issued in IN
Legal business name
GIGI P STOWE PHD PSYCHOLOGICAL SERVICES LLC
Practice address
101 W Kirkwood Ave
Suite 216
Bloomington, IN 47404-6129
Phone
(812) 961-3837
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Gigi Pinnell Stowe, PHD
Title
Owner
Phone
(812) 961-3837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 20042141A IN Primary

Addresses

Primary practice location

101 W Kirkwood Ave
Suite 216
Bloomington, IN 47404-6129

Mailing address

101 W Kirkwood Ave
Suite 216
Bloomington, IN 47404-6129
Phone (812) 961-3837

Other identifiers 1

IdentifierTypeStateIssuer
200920520MedicaidIN

National Provider Directory

National Provider Directory

Locations

101 W Kirkwood Ave
Ste 216
Bloomington, IN 47404
Phone (812) 961-3837

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1063689545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W KIRKWOOD AVE",
            "address_2": "SUITE 216",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474046129",
            "telephone_number": "812-961-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KIRKWOOD AVE",
            "address_2": "SUITE 216",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474046129",
            "telephone_number": "812-961-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIGI P STOWE PHD PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "STOWE",
        "authorized_official_first_name": "GIGI",
        "authorized_official_middle_name": "PINNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-961-3837",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042141A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200920520",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.