Phenetre Chintanya McGowan, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

34817 Issued in CA

Practice address

1 Colony Drive
San Luis Obispo, CA 93409-8371

Phone

(805) 547-7900

NPI assigned

Dec 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1386947398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 DALIDIO DR # 3006",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934011000",
            "telephone_number": "858-360-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLONY DRIVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934098371",
            "telephone_number": "805-547-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10455 Pomerado Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921311799",
            "country_code": "US",
            "telephone_number": "805-547-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "PHENETRE",
        "middle_name": "CHINTANYA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "101MY0800X",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "34817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Strickland McDonald, D.O.
• Kaishawn D. McDuffie, NP
• Bonnie June McElwain
• Mackenzie McFarland Therapy, LMFT
• Marilyn Mae McGowan, MD
• Patrick D. McGowen, PHARMD
• Paula Marie McGrath
• Elizabeth M McGraw, AA
• Travis McGraw
• Katherine Lillian McGregor, LMFT MFC 36052

• Psychologist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.