Irene G Bowman

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS017273 Issued in PA

Practice address

930 Montgomery Ave
#107
Bryn Mawr, PA 19010-3044

Phone

(610) 613-8959

NPI assigned

Nov 26, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Merakey Philadelphia

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1073636866
  Medicare reassignment NPD
• Merakey Philadelphia

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1982727772
  NPD
• PA Patient Care PC

  • Clinical Psychologist
  • Scranton, PA
  • NPI 1750650826
  NPD (past)
• The Art of Friendship Social Skills Program, PC

  dba Child and Family Art Therapy Center

  • Mental Health Counselor
  • Haverford, PA
  • NPI 1801012711
  NPD (past)

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1487998894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MONTGOMERY AVE",
            "address_2": "#107",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103044",
            "telephone_number": "610-613-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MONTGOMERY AVE",
            "address_2": "#107",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103044",
            "telephone_number": "610-613-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "IRENE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul K Bookman
• Micaella Queiroz Borges-Schocker, D.M.D.
• Stephen C Borgese, MD
• Nahed S Botros, DO
• Suzanne Bowers, L.AC
• Sara Carleen Bowman, PA-C
• Maryanne Cathryn Boyle, BSN, RN
• Mikele Lebda Boyle, D.M.D.
• Bradley C Norford PHD PC (Bryn Mawr Psychological Associates)
• Madeline Rose Bradley

• Psychologist in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.