Organization Active NPI

Judie Bowman, PHD

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1447456645
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2071 Issued in CO
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07020712MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.