Active NPI
David Cowan, PHD, PC
- Clinical Psychologist
- Bloomfield Hills, MI
National Provider Identifier
1588936728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301005488
- Legal business name
- DAVID COWAN, PHD, PC
- Practice address
- 43902 Woodward Ave
Suite116
Bloomfield Hills, MI 48302-5011 - Phone
- (248) 745-0425
- Fax
- (248) 745-0536
- NPI assigned
- Feb 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Michael Cowan, PHD
- Title
- President
- Phone
- (248) 745-0425
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6301005488 | MI | |
| Clinical Psychologist | 103TC0700X | 6301005488 | MI | Primary |
| Forensic Psychologist | 103TF0200X | 6301005488 | MI | |
| Health Psychologist | 103TH0004X | 6301005488 | MI |
Addresses
Primary practice location
43902 Woodward Ave
Suite116
Bloomfield Hills, MI 48302-5011
Mailing address
43902 Woodward Ave
Suite116
Bloomfield Hills, MI 48302-5011
Phone (248) 745-0425
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037721 | Other | MI | VALUE OPTIONS |
| 099023 | Other | MI | MANAGED HEALTH NETWORK |
| 47988 | Other | MI | HEALTH ALLIANCE PLAN |
| 9309 | Other | MI | CAPE HEALTH PLAN |
| 680F348600 | Other | MI | BLUE CROSS BLUE SHIELD OF MI |
| 2107494 | Other | MI | CIGNA |
| 00836270723200 | Other | MI | LIBERTY MUTUAL |
| 1062699 | Other | MI | INTEGRATED HEALTH PLAN |
| 032531000 | Other | MI | MAGELLAN |
| 2119722934101 | Other | MI | BEECH STREET CORP |
| P83423 | Other | MI | BLUE CARE NETWORK |
National Provider Directory
National Provider DirectoryLocations
43902 Woodward Ave
Ste 116
Bloomfld Hls, MI 48302
Phone (248) 335-1130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328227200000",
"number": "1588936728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43902 WOODWARD AVE",
"address_2": "SUITE116",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025011",
"telephone_number": "248-745-0425",
"fax_number": "248-745-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43902 WOODWARD AVE",
"address_2": "SUITE116",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025011",
"telephone_number": "248-745-0425",
"fax_number": "248-745-0536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID COWAN, PHD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-03",
"last_updated": "2012-02-03",
"status": "A",
"authorized_official_last_name": "COWAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-745-0425",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Neuropsychologist",
"state": "MI",
"license": "6301005488",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301005488",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Forensic",
"state": "MI",
"license": "6301005488",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Health",
"state": "MI",
"license": "6301005488",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "037721",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "099023",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "47988",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPE HEALTH PLAN",
"identifier": "9309",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MI",
"identifier": "680F348600",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2107494",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIBERTY MUTUAL",
"identifier": "00836270723200",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTEGRATED HEALTH PLAN",
"identifier": "1062699",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "032531000",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET CORP",
"identifier": "2119722934101",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P83423",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.