Tenea M Lowman, PSYD

Individual provider Active NPI Clinical Psychologist · Windsor, MO

NPI 1366420796 · NPPES record last updated Mar 9, 2018

Key facts

NPI
1366420796
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
2006029885 (MO)
Practice address
307 N. Main
Windsor, MO 65360
Phone
(660) 647-2182
Fax
(660) 647-2217
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

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

Locations

1800 Community
#B
Clinton, MO 64735

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

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

Specialties & licenses

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

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

  • Tenea M. Russell Former name

Other providers in Windsor, MO

All providers in Windsor, MO · Clinical Psychologist in Missouri

Sources for this page

Verify at the official NPI Registry.