Active NPI
Jacob Mark Lowen, PSYD
- Clinical Psychologist
- Salem, OR
National Provider Identifier
1407270143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2995
- Practice address
- 891 23Rd St NE
Salem, OR 97301-1793 - Phone
- (503) 364-2181
- Fax
- (503) 364-0364
- NPI assigned
- Feb 18, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2995 | OR | Primary |
Addresses
Primary practice location
891 23Rd St NE
Salem, OR 97301-1793
Mailing address
891 23Rd St NE
Salem, OR 97301-1793
Phone (503) 364-2181
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childhood Health Associates of Salem | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Salem, OR
- NPI 1467677864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1407270143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 23RD ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973011793",
"telephone_number": "503-364-2181",
"fax_number": "503-364-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "891 23RD ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973011793",
"telephone_number": "503-364-2181",
"fax_number": "503-364-0364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWEN",
"first_name": "JACOB",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-18",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.