Active NPI
Pamela Bowers, M.S.
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1568630267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301013558
- Practice address
- 122 S Main St Ste 360B
Ann Arbor, MI 48104-1925 - Phone
- (734) 474-0625
- NPI assigned
- Feb 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301013558 | MI | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301013558 | MI |
Addresses
Primary practice location
122 S Main St Ste 360B
Ann Arbor, MI 48104-1925
Mailing address
122 S Main St Ste 360B
Ann Arbor, MI 48104-1925
Phone (734) 474-0625
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301013558 | MI | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1568630267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 S MAIN ST STE 360B",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041925",
"telephone_number": "734-474-0625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 S MAIN ST STE 360B",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481041925",
"telephone_number": "734-474-0625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS",
"first_name": "PAMELA",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301013558",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301013558",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.