Fowler Psychological Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LP1765 Issued in MN

Legal business name

FOWLER PSYCHOLOGICAL SERVICES, INC.

Practice address

5353 Gamble Dr
108
St Louis Park, MN 55416-1509

Phone

(952) 545-8833

Fax

(952) 224-2299

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Richard Fowler, PHDNPI 1588753941

Title

President

Phone

(952) 545-8833

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Richard Fowler, PHD

  • Clinical Psychologist
  • St Louis Park, MN
  • NPI 1588753941
  NPD (past) Authorized official

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1477709392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 GAMBLE DR",
            "address_2": "108",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161509",
            "telephone_number": "952-545-8833",
            "fax_number": "952-224-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 GAMBLE DR",
            "address_2": "108",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161509",
            "telephone_number": "952-545-8833",
            "fax_number": "952-224-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOWLER PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-545-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LP1765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "620000219",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsea Rae Forrester, RD
• Justine Fosle, FNP-C
• Luke Allen Foster, DDS
• Scott Boyce Foval, LADC
• Fowler Psychological Services Inc
• John Richard Fowler, PHD
• Andrew Radin Fox, PHD, LP
• Anna Lynn Fox, PSYD
• Mary S Fox, PT
• Patrick John Foy, DDS

• Community/Behavioral Health Agency in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.