Active NPI
Lawrence P. McGowan, PH.D.
- Psychologist
- Ridgewood, NY
National Provider Identifier
1518168095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 006700
- Practice address
- 6433 Palmetto St
Ridgewood, NY 11385-3326 - Phone
- (718) 497-2425
- Fax
- (718) 497-2425
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 006700 | NY | Primary |
Addresses
Primary practice location
6433 Palmetto St
Ridgewood, NY 11385-3326
Mailing address
6433 Palmetto St
Ridgewood, NY 11385-3326
Phone (718) 497-2425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006700 | Other | NY | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006700 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518168095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6433 PALMETTO ST",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113853326",
"telephone_number": "718-497-2425",
"fax_number": "718-497-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6433 PALMETTO ST",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113853326",
"telephone_number": "718-497-2425",
"fax_number": "718-497-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "LAWRENCE",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "006700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "006700",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- 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.