Timothy McGowan, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

024571 Issued in NY

Practice address

755 Park Ave Ste 140
Huntington, NY 11743-3972

Phone

(631) 683-8696

NPI assigned

Oct 28, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Timothy G. McGowan, PH.D. Psychologist

  • Clinical Psychologist
  • Massapequa, NY
  • NPI 1922997782
  NPD Authorized official
• Julian Herskowitz and Steven Lefkowitz, PH.D.

  • Clinical Psychologist
  • Huntington, NY
  • NPI 1912182585
  NPD (past)

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1154085835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585019",
            "telephone_number": "631-683-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 PARK AVE STE 140",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433972",
            "telephone_number": "631-683-8696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "567 Broadway",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "11758",
            "country_code": "US",
            "telephone_number": "631-683-8696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "TIMOTHY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Joseph McDonald, DO
• Joan S McDonough, NP
• Jean McFadden, LCSW
• Eileen McGaw
• Caitlin Faith McGowan, L.C.S.W.
• Sharon Lynne McGrory-Buckley, R-LCSW
• Nina Marie McGuinness, OTR/L
• Elyse Danielle McGuire
• Dorothy Ann McHugh, LCSW
• Racheal McInnes

• Psychologist in Huntington, NY
• Providers in Huntington, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.