Katie Laryn Cowan, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003177 Issued in GA

Practice address

951 Harmony Rd
Suite 107
Eatonton, GA 31024-9601

Phone

(404) 931-6555

Fax

(404) 393-9635

NPI assigned

Aug 11, 2007

Last updated

Oct 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Katie Laryn Barclay Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1326230533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 GRANITE COVE DR",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306427000",
            "telephone_number": "404-931-6555",
            "fax_number": "404-393-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 HARMONY RD",
            "address_2": "SUITE 107",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249601",
            "telephone_number": "404-931-6555",
            "fax_number": "404-393-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "KATIE",
        "middle_name": "LARYN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-11",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "003177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003106637A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BARCLAY",
            "middle_name": "LARYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shondalette Chatfield, LPC
• Heather Ewing Chronos, PA
• Nicolas A.F. Chronos, MD
• Jessica Elizabeth Anne Coleman, NP
• Jennifer Marie Cousins, O.D.
• Leslie Criswell
• Joseph Anthony D'Agostino, PH.D.
• Rita Daniel, DC
• Verntavius Jaymel Denham
• Eatonton Dental Sleep Solutions LLC

• Clinical Psychologist in Eatonton, GA
• Providers in Eatonton, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.