Active NPI
Judit Nemeth Bowling, PHD
- Clinical Psychologist
- Medford, OR
National Provider Identifier
1417050600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- OBPE2181
- Practice address
- 897 Royal Ave Ste C
Medford, OR 97504-6121 - Phone
- (541) 941-5557
- Fax
- (503) 419-4662
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | OBPE2181 | OR | Primary |
Addresses
Primary practice location
897 Royal Ave Ste C
Medford, OR 97504-6121
Mailing address
PO Box 503010
White City, OR 97503-0813
Phone (541) 941-7792
Other names 1
- Ms. Judit Nemeth
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OBPE2181 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Pain Management Inc | Past | Accepting new patients | |
| Northwest Pain Management PC | Past | Accepting new patients | |
| Vericare of California Medical Group | Clinical | Past | Accepting new patients |
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.
-
- Medical Specialty Clinic/Center
- Medford, OR
- NPI 1104991405
-
- Pain Clinic/Center
- Medford, OR
- NPI 1538219993
-
- Clinical Psychologist
- Paradise, CA
- NPI 1316992829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1417050600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503010",
"city": "WHITE CITY",
"state": "OR",
"postal_code": "975030813",
"telephone_number": "541-941-7792",
"fax_number": "503-419-4662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "897 ROYAL AVE STE C",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046121",
"telephone_number": "541-941-5557",
"fax_number": "503-419-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLING",
"first_name": "JUDIT",
"middle_name": "NEMETH",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "OBPE2181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDIT",
"last_name": "NEMETH",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.