Active NPI
Daniel P Cowan, PSY.D.
- Psychologist
- Chardon, OH
National Provider Identifier
1467437012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5513
- Practice address
- 12340 Bass Lake Rd
Chardon, OH 44024-8327 - Phone
- (440) 279-2413
- NPI assigned
- Dec 7, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5513 | OH | Primary |
Addresses
Primary practice location
12340 Bass Lake Rd
Chardon, OH 44024-8327
Mailing address
PO Box 22705
Beachwood, OH 44122-0705
Phone (440) 279-2413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2149231 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5513 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Medical Ancillary Services | Psychologist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Brunswick, OH
- NPI 1407129737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467437012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22705",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441220705",
"telephone_number": "440-279-2413",
"fax_number": "440-286-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12340 BASS LAKE RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440248327",
"telephone_number": "440-279-2413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWAN",
"first_name": "DANIEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2149231",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.