Individual provider Active NPI

Marianne G Bowden, PHD

  • Clinical Psychologist
  • Wooster, OH
National Provider Identifier
1104814649
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5038 Issued in OH
Practice address
365 Riffel Rd
Suite B
Wooster, OH 44691-8592
Phone
(330) 345-3461
Fax
(330) 345-3462
NPI assigned
Oct 10, 2005
Last updated
Jun 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5038 OH Primary

Addresses

Primary practice location

365 Riffel Rd
Suite B
Wooster, OH 44691-8592

Mailing address

365 Riffel Rd
Suite B
Wooster, OH 44691-8592
Phone (330) 345-3461

Other identifiers 2

IdentifierTypeStateIssuer
113526OtherOHMANAGED HEALTH NETWORK
2177040MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120507000709 OH Practitioner - Clinical Psychologist 0446229603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5038OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Robinson & Associates LLC CurrentSince Jul 30, 2025 Accepting new patients

Locations

190 Currie Hall Pkwy
Kent, OH 44240
Phone (330) 673-5812

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1104814649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 RIFFEL RD",
            "address_2": "SUITE B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918592",
            "telephone_number": "330-345-3461",
            "fax_number": "330-345-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 RIFFEL RD",
            "address_2": "SUITE B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918592",
            "telephone_number": "330-345-3461",
            "fax_number": "330-345-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "MARIANNE",
        "middle_name": "G",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "113526",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2177040",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.