Active NPI
Joyce Fowler, PH.D.
- Clinical Psychologist
- Little Rock, AR
National Provider Identifier
1114906401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 03-13P
- Practice address
- 415 N McKinley St
Ste. 500
Little Rock, AR 72205-3013 - Phone
- (501) 664-6632
- Fax
- (501) 664-1441
- NPI assigned
- Jan 13, 2006
- 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 | 03-13P | AR | Primary |
Addresses
Primary practice location
415 N McKinley St
Ste. 500
Little Rock, AR 72205-3013
Mailing address
415 N McKinley St
Ste. 500
Little Rock, AR 72205-3013
Phone (501) 664-6632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56230 | Other | AR | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Sep 23, 2013 through Sep 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1114906401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N MCKINLEY ST",
"address_2": "STE. 500",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053013",
"telephone_number": "501-664-6632",
"fax_number": "501-664-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N MCKINLEY ST",
"address_2": "STE. 500",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722053013",
"telephone_number": "501-664-6632",
"fax_number": "501-664-1441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "JOYCE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AR",
"license": "03-13P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "56230",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.