Individual provider Active NPI

Julie Ann Fowler, NP

  • Psychiatry Physician
  • New Haven, CT
National Provider Identifier
1174178354
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
8354 Issued in CT
Practice address
93 Edwards St
New Haven, CT 06511-3986
Phone
(203) 772-1270
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 8354 CT Primary

Addresses

Primary practice location

93 Edwards St
New Haven, CT 06511-3986

Mailing address

2545 Long Hill Rd
Guilford, CT 06437-3616
Phone (203) 671-5868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621000568 CT Practitioner - Nurse Practitioner 7810430600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clifford W Beers Guidance Clinic IncGroup PAC ID 1951771054, 14 clinicians

Practice addresses (Care Compare)

93 Edwards St
New Haven, CT 06511-3933
Phone (203) 772-1270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clifford W. Beers Guidance Clinic Inc CurrentSince May 15, 2024 Accepting new patients
Straun Health & Wellness Psychiatry Past Accepting new patients

Locations

41 Marne St
Hamden, CT 06514
Phone (203) 691-9383

93 Edwards St
New Haven, CT 06511
Phone (203) 772-1270

Interoperability endpoints

  • Direct secure messaging: julie.fowler.1@23172.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23172/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1174178354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 LONG HILL RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064373616",
            "telephone_number": "203-671-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 EDWARDS ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113986",
            "telephone_number": "203-772-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "8354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.