Individual provider Active NPI

Tenea M Lowman, PSYD

  • Clinical Psychologist
  • Windsor, MO
National Provider Identifier
1366420796
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2006029885 Issued in MO
Practice address
307 N. Main
Windsor, MO 65360
Phone
(660) 647-2182
Fax
(660) 647-2217
NPI assigned
Jan 5, 2006
Last updated
Mar 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2006029885 MO Primary

Addresses

Primary practice location

307 N. Main
Windsor, MO 65360

Mailing address

613 S State Fair Blvd
Sedalia, MO 65301-2415
Phone (660) 647-2182

Other names 1

  • Tenea M. Russell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20070430000188 MO Practitioner - Clinical Psychologist 2860490208 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2006029885MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Aug 1, 2014 Accepting new patients
Compass Health, Inc CurrentSince Aug 1, 2014 Accepting new patients
Pathways Psychiatric Hospital Inc CurrentSince Oct 1, 2006 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

307 N Main St
Windsor, MO 65360
Phone (660) 647-2182

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1366420796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 S STATE FAIR BLVD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012415",
            "telephone_number": "660-647-2182",
            "fax_number": "660-647-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N. MAIN",
            "city": "WINDSOR",
            "state": "MO",
            "postal_code": "65360",
            "telephone_number": "660-647-2182",
            "fax_number": "660-647-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWMAN",
        "first_name": "TENEA",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2006029885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TENEA",
            "last_name": "RUSSELL",
            "middle_name": "M.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Windsor, MO

Sources for this page

Verify at the official NPI Registry.