Latrice L Dowtin, PH.D., LCPC, NCSP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

34407 Issued in CA

Practice address

2920 Meramec St Unit 26909
Saint Louis, MO 63118-4462

Phone

(202) 838-7529

NPI assigned

Apr 26, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other names 1

• Ryleigh Dowtin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Playfulleigh Psyched, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Louis, MO
  • NPI 1720575350

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1366977407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 MERAMEC ST UNIT 26909",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184462",
            "telephone_number": "202-838-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 MERAMEC ST UNIT 26909",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184462",
            "telephone_number": "202-838-7529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Thayer Ctr Ste C",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "MD",
            "postal_code": "215501139",
            "country_code": "US",
            "telephone_number": "202-499-9188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9466 Georgia Ave Ste 2057",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209101456",
            "country_code": "US",
            "telephone_number": "202-499-9188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWTIN",
        "first_name": "LATRICE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCPC, NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TMPC62",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC200001793",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8553",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021026279",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYLEIGH",
            "last_name": "DOWTIN",
            "credential": "PH.D., LCPC, NCSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Kathryn Downs, RDN
• Maureen A Downs, LMSW
• Downtown Clinic of Optometry, Inc
• Downtown Medical LLC
• Downtown Pain Management Clinic, LLC
• Ryan Everett Doyel, MD
• John Thomas Doyle, DDS
• Joshua William Doyle, PLPC
• Kevin Lawrence Doyle, MSW, LCSW
• Lisa G Doyle, ACNP

• Clinical Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.