Jody Garcia-Fowlkes, CP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6351004625 Issued in MI

Practice address

555 W Wackerly St Ste 3625
Midland, MI 48640-4715

Phone

(989) 832-4202

NPI assigned

Aug 23, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1508311218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 CHARING CROSS DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391540",
            "telephone_number": "248-308-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W WACKERLY ST STE 3625",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404715",
            "telephone_number": "989-832-4202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1057 E Coldwater Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485051501",
            "country_code": "US",
            "telephone_number": "248-308-6510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Star Batt Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483093709",
            "country_code": "US",
            "telephone_number": "248-308-6510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2399 E Walton Blvd",
            "address_purpose": "LOCATION",
            "city": "Auburn Hills",
            "state": "MI",
            "postal_code": "483261955",
            "country_code": "US",
            "telephone_number": "248-475-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 Waterford Pkwy",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "MI",
            "postal_code": "488799630",
            "country_code": "US",
            "telephone_number": "989-292-3572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA-FOWLKES",
        "first_name": "JODY",
        "name_prefix": "Dr.",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016828",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6351004625",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MI",
            "license": "6351004625",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6351004625",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6351004625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dea Gallahan
• Kathryn Gallihugh, P.A.-C
• Erik Douglas Gammon, MD
• Jeffrey Michael Gandy, PA-C
• Andrea Garbacik
• David G Garcia, LMSW, ACSW
• Emily Garcia, MS CFY SLP
• Andrew Gardner-Northrop, LMSW
• Janet Garner
• John Garner

• Clinical Psychologist in Midland, MI
• Providers in Midland, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.