Active NPI
Rachael Bowman, RA
- Community/Behavioral Health Agency
- Mentor, OH
National Provider Identifier
1104694181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- RA.163814
- Practice address
- 8445 Munson Rd
Mentor, OH 44060-2410 - Phone
- (440) 255-1700
- Fax
- (440) 205-2417
- NPI assigned
- Dec 19, 2023
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | RA.163814 | OH | Primary |
Addresses
Primary practice location
8445 Munson Rd
Mentor, OH 44060-2410
Mailing address
8445 Munson Rd
Mentor, OH 44060-2410
Phone (440) 255-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2864093 | Medicaid | OH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RA.163814 | OH | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1104694181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8445 MUNSON RD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440602410",
"telephone_number": "440-255-1700",
"fax_number": "440-205-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8445 MUNSON RD",
"city": "MENTOR",
"state": "OH",
"postal_code": "440602410",
"telephone_number": "440-255-1700",
"fax_number": "440-205-2417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "RACHAEL",
"credential": "RA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "RA.163814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2864093",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.