Active NPI
Kirsten Lowry, PH.D.
- Clinical Psychologist
- San Luis Obispo, CA
National Provider Identifier
1104123777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY23890
- Practice address
- 1985 Johnson Ave
San Luis Obispo, CA 93401-4131 - Phone
- (805) 602-1062
- NPI assigned
- Feb 17, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY23890 | CA | Primary |
Addresses
Primary practice location
1985 Johnson Ave
San Luis Obispo, CA 93401-4131
Mailing address
PO Box 4524
Paso Robles, CA 93447-4524
Phone (805) 602-1062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ER077A | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- University of Nevada School of Medicine, 2008
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Paso Robles, CA 93446
Phone (805) 602-1062
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY23890 | CA | MD | Clinical Psychologist |
| 23890 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirsten Lowry Psychologist Inc | Current | Accepting new patients |
Locations
945 Spring St
Ste 4
Paso Robles, CA 93446
Phone (805) 602-1062
1985 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (800) 460-9219
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- San Luis Obispo, CA
- NPI 1669898367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1104123777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4524",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934474524",
"telephone_number": "805-602-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 JOHNSON AVE",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014131",
"telephone_number": "805-602-1062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRY",
"first_name": "KIRSTEN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-17",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY23890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "ER077A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.