Active NPI
Judie Bowman, PHD
- Psychologist
- Colorado Springs, CO
National Provider Identifier
1447456645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2071
- Legal business name
- JUDIE BOWMAN, PHD
- Practice address
- 801 N Weber St
Colorado Springs, CO 80903-5927 - Phone
- (719) 930-8828
- Fax
- (719) 687-8182
- NPI assigned
- Jun 25, 2007
- Last updated
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Judie Bowman, PHD
- Title
- President
- Phone
- (719) 939-8828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2071 | CO | Primary |
Addresses
Primary practice location
801 N Weber St
Colorado Springs, CO 80903-5927
Mailing address
5526 County Road 5
Divide, CO 80814-9107
Phone (719) 930-8828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07020712 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
801 N Weber St
Colorado Springs, CO 80903
Phone (719) 473-6611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196035200000",
"number": "1447456645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5526 COUNTY ROAD 5",
"city": "DIVIDE",
"state": "CO",
"postal_code": "808149107",
"telephone_number": "719-930-8828",
"fax_number": "719-687-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N WEBER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809035927",
"telephone_number": "719-930-8828",
"fax_number": "719-687-8182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDIE BOWMAN, PHD",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-25",
"last_updated": "2007-11-26",
"status": "A",
"authorized_official_last_name": "BOWMAN",
"authorized_official_first_name": "JUDIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "719-939-8828",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "2071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07020712",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.