Individual provider Active NPI

Peter Charles McGowan, MD

  • Psychiatry Physician
  • Lubbock, TX
National Provider Identifier
1679544498
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101239156 Issued in VA
Practice address
3223 S Loop 289 Ste 600
Lubbock, TX 79423-1372
Phone
(917) 634-5311
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0101239156 VA
Psychiatry Physician 2084P0800X 0101239156 VA Primary

Addresses

Primary practice location

3223 S Loop 289 Ste 600
Lubbock, TX 79423-1372

Mailing address

584 Walla Walla Way
La Conner, WA 98257
Phone (757) 814-0477

Other practice location 1

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (917) 634-5311

Other practice location 2

150 Riverside Pkwy Ste 115
Fredericksburg, VA 22406-1094
Phone (757) 814-0477

Other practice location 3

400 Union Ave SE Ste 200
Olympia, WA 98501-2060
Phone (917) 634-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DC, WA, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230221003009 NY Practitioner - Psychiatry 2668619107 Reassigns benefits to 1 organization
I20230224001969 DC Practitioner - Psychiatry 2668619107 Reassigns benefits to 1 organization
I20230602002308 WA Practitioner - Psychiatry 2668619107 Reassigns benefits to 1 organization
I20230608000607 TX Practitioner - Psychiatry 2668619107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

13555 SE 36TH St
Suite 100
Bellevue, WA 98006-1456
Phone (917) 634-5311

1400 N Coit Rd
Talkiatry Suite 302
McKinney, TX 75071-6656
Phone (917) 634-5311

2800 Eisenhower Ave
Suite 220 Talkiatry
Alexandria, VA 22314-4587
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101239156VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Jan 1, 2023 Accepting new patients

Locations

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423

13555 SE 36th St
Ste 100
Bellevue, WA 98006

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1679544498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 WALLA WALLA WAY",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "98257",
            "telephone_number": "757-814-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 S LOOP 289 STE 600",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231372",
            "telephone_number": "917-634-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W 27th St Rm 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016208",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Riverside Pkwy Ste 115",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224061094",
            "country_code": "US",
            "telephone_number": "757-814-0477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Union Ave SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985012060",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "PETER",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0101239156",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101239156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.