Active NPI
Serena Sowin
- School Psychologist
- Colorado Springs, CO
National Provider Identifier
1376271718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 409592
- Practice address
- 6460 Mesedge Dr
Colorado Springs, CO 80919-1813 - Phone
- (408) 893-8028
- NPI assigned
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 409592 | NM | Primary |
Addresses
Primary practice location
6460 Mesedge Dr
Colorado Springs, CO 80919-1813
Mailing address
6460 Mesedge Dr
Colorado Springs, CO 80919-1813
Phone (408) 893-8028
Other names 1
- Serena Chan
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | serena.sowin@k12espanola.org | Direct | Espanola Public Schools |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 409592 | NM | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1376271718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6460 MESEDGE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809191813",
"telephone_number": "408-893-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6460 MESEDGE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809191813",
"telephone_number": "408-893-8028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWIN",
"first_name": "SERENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": "409592",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "serena.sowin@k12espanola.org",
"affiliation": "Y",
"endpointDescription": "District email address",
"affiliationName": "Espanola Public Schools",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6460 Mesedge Dr",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809191813",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SERENA",
"last_name": "CHAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.