Jacqueline Louise Kowalski, ED D

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

3521 Issued in OH

Practice address

712 Purcell Avenue
Cincinnati, OH 45205-2344

Phone

(513) 471-9169

Fax

(513) 251-7922

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Children'S Hospital Medical Center

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1609915784
  NPD (past)
• Seton Family Center

  • Clinical Child & Adolescent Psychologist
  • Cincinnati, OH
  • NPI 1811175912
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508939620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 PURCELL AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452052344",
            "telephone_number": "513-471-9169",
            "fax_number": "513-251-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 PURCELL AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452052344",
            "telephone_number": "513-471-9169",
            "fax_number": "513-251-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "JACQUELINE",
        "middle_name": "LOUISE",
        "credential": "ED D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "3521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0771795",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Koval
• Justin Kovanis
• Katherine Kowalak, CNP
• Tanya L Kowalczyk Mullins, M.D.
• Ian Kowalski, M.D.
• Jenna Kowalski, RN
• Jessica L Kowalski, D.C.
• Matthew Charles Kowantz, PT
• Carolyn Ann Kowatsch, PH.D.
• Abdulbaki Kozan, MD

• Clinical Child & Adolescent Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Child & Adolescent Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.