Individual provider Active NPI

Teresa Marie Cowan-Christen, PSY.D, M.A.

  • Clinical Psychologist
  • Wichita, KS
National Provider Identifier
1104963222
Registry record updated Aug 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
T-LP 2080 Issued in KS
Practice address
10333 E 21St St N
Suite 204
Wichita, KS 67206-3543
Phone
(316) 630-8444
Fax
(316) 630-8449
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2013

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 T-LP 2080 KS Primary

Addresses

Primary practice location

10333 E 21St St N
Suite 204
Wichita, KS 67206-3543

Mailing address

1335 N Robin CT
Andover, KS 67002-7402
Phone (316) 213-3788

Other names 1

  • Dr. Teresa Marie Cowan Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
T-LP 2080KSMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375574400000",
    "number": "1104963222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 N ROBIN CT",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670027402",
            "telephone_number": "316-213-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 E 21ST ST N",
            "address_2": "SUITE 204",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063543",
            "telephone_number": "316-630-8444",
            "fax_number": "316-630-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN-CHRISTEN",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D, M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "T-LP 2080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "COWAN",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PSY.D., M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2013; 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.