Individual provider Active NPI

Duncan N Bowen Jr., PHD

  • Professional Counselor
  • Satellite Beach, FL
National Provider Identifier
1447574041
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH 645 Issued in FL
Practice address
1275 S Patrick Dr
Suite C
Satellite Beach, FL 32937-3963
Phone
(321) 779-9838
Fax
(321) 779-4502
NPI assigned
Mar 25, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH 645 FL Primary

Addresses

Primary practice location

1275 S Patrick Dr
Suite C
Satellite Beach, FL 32937-3963

Mailing address

1275 S Patrick Dr
Suite C
Satellite Beach, FL 32937-3963
Phone (321) 779-9838

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH 645FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Child Counseling and Psychiatric Center, P.a. 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.

NPI Registry JSON

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1447574041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 S PATRICK DR",
            "address_2": "SUITE C",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373963",
            "telephone_number": "321-779-9838",
            "fax_number": "321-779-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S PATRICK DR",
            "address_2": "SUITE C",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373963",
            "telephone_number": "321-779-9838",
            "fax_number": "321-779-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "DUNCAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH 645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Satellite Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.