Robert Blythe Bowden, L. C. P. C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC2595 Issued in MD

Practice address

2909 Churchville Rd
Churchville, MD 21028-1809

Phone

(410) 734-6439

Fax

(410) 734-6123

NPI assigned

Apr 28, 2008

Last updated

Jan 23, 2019By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1295900579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 CRESCENT RIDGE DR",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621149",
            "telephone_number": "410-830-9268",
            "fax_number": "410-734-6123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 CHURCHVILLE RD",
            "city": "CHURCHVILLE",
            "state": "MD",
            "postal_code": "210281809",
            "telephone_number": "410-734-6439",
            "fax_number": "410-734-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "ROBERT",
        "middle_name": "BLYTHE",
        "name_prefix": "Dr.",
        "credential": "L. C. P. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC2595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Bazemore
• Bloom Harbor Psychiatry, LLC
• Patricia Canepa, MA CCC-SLP
• Churchville Dental Care, Inc.
• Dawn M Phillips Ddsllc (Campus Hills Dentistry)
• Dennis F Fisher PH D and Assoc.
• Dr. Gary L Gay & Associates, LLC

• Mental Health Counselor in Churchville, MD
• Providers in Churchville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.