Organization Active NPI

Kirsten Lowry Psychologist Inc

  • Adult Mental Health Clinic/Center
  • San Luis Obispo, CA
National Provider Identifier
1669898367
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
PSY23890 Issued in CA
Legal business name
KIRSTEN LOWRY PSYCHOLOGIST INC
Practice address
1985 Johnson Ave
San Luis Obispo, CA 93401-4131
Phone
(805) 602-1062
NPI assigned
Mar 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Authorized official

Name
Dr. Kirsten Lowry, PH.D.NPI 1104123777
Title
Licensed Clinical Psychologist
Phone
(805) 602-1062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X PSY23890 CA Primary

Addresses

Primary practice location

1985 Johnson Ave
San Luis Obispo, CA 93401-4131

Mailing address

PO Box 4524
Paso Robles, CA 93447-4524
Phone (805) 602-1062

Other identifiers 1

IdentifierTypeStateIssuer
ER077AOtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140925000469 CA Part B Supplier - Clinic/Group Practice 4284854290 Receives reassigned benefits from 1 practitioner
Practice locations: Paso Robles, CA

National Provider Directory

National Provider Directory

Locations

945 Spring St
Ste 4
Paso Robles, CA 93446
Phone (805) 602-1062

819 12th St
Ste 208
Paso Robles, CA 93446
Phone (805) 602-1062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1669898367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4524",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934474524",
            "telephone_number": "805-602-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014131",
            "telephone_number": "805-602-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRSTEN LOWRY PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "805-602-1062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "PSY23890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ER077A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.