NPIMap

Organization Active NPI

David M. Cowan, PHD, PLLC

  • Clinical Psychologist
  • Bloomfield Hills, MI
National Provider Identifier
1235334939
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301005488 Issued in MI
Legal business name
DAVID M. COWAN, PHD, PLLC
Practice address
43902 Woodward Ave
Suite 116
Bloomfield Hills, MI 48302-5011
Phone
(248) 745-0425
Fax
(248) 745-0536
NPI assigned
Jun 20, 2007
Last updated
Oct 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Dr. David Michael Cowan, PH.D.NPI 1124106398
Title
Owner
Phone
(248) 745-0425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 6301005488 MI
Psychologist 103T00000X 6301005488 MI
Clinical Psychologist 103TC0700X 6301005488 MI Primary
Forensic Psychologist 103TF0200X 6301005488 MI
Rehabilitation Psychologist 103TR0400X 6301005488 MI
Health Psychologist 103TH0004X 6301005488 MI

Addresses

Primary practice location

43902 Woodward Ave
Suite 116
Bloomfield Hills, MI 48302-5011

Mailing address

43902 Woodward Ave
Suite 116
Bloomfield Hills, MI 48302-5011
Phone (248) 745-0425

Other identifiers 12

IdentifierTypeStateIssuer
037721OtherMIVALUE OPTIONS
099023OtherMIUNITED HEALTHCARE
1062699OtherMIIHP
BM630101OtherMIMCARE
126823OtherMICARE CHOICES
47988OtherMIHEALTH ALLIANCE PLAN
9309OtherMICAPE HEALTH PLAN
00836270723200OtherMILIBERTY MUTUAL
P83423OtherMIBLUE CARE NETWORK
099023OtherMIMHN
2107494OtherMICIGNA
2119722934101OtherMIBEECH STREET

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1235334939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43902 WOODWARD AVE",
            "address_2": "SUITE 116",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025011",
            "telephone_number": "248-745-0425",
            "fax_number": "248-745-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43902 WOODWARD AVE",
            "address_2": "SUITE 116",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025011",
            "telephone_number": "248-745-0425",
            "fax_number": "248-745-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. COWAN, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-745-0425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301005488",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301005488",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005488",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MI",
            "license": "6301005488",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MI",
            "license": "6301005488",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MI",
            "license": "6301005488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "037721",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "099023",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHP",
            "identifier": "1062699",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "BM630101",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "126823",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "47988",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPE HEALTH PLAN",
            "identifier": "9309",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIBERTY MUTUAL",
            "identifier": "00836270723200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P83423",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "099023",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2107494",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "2119722934101",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.