Active NPI
Peter Charles McGowan, MD
- Psychiatry Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101239156
- 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
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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101239156 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Psychiatry | Current | 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.
-
- Psychiatry Physician
- New York, NY
- NPI 1033750823
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.