Organization Active NPI

Erin Bowman, PHD, LLC

  • Counseling Psychologist
  • Fort Wayne, IN
National Provider Identifier
1689104929
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
20042505A Issued in IN
Legal business name
ERIN BOWMAN, PHD, LLC
Practice address
9910 Dupont Circle Dr E Ste 140
Fort Wayne, IN 46825-1618
Phone
(260) 570-5414
Fax
(260) 209-0762
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Authorized official

Name
Dr. Erin R Bowman, PHD, HSPPNPI 1942555628
Title
Psychologist
Phone
(765) 215-1736

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
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 20042505A IN Primary

Addresses

Primary practice location

9910 Dupont Circle Dr E Ste 140
Fort Wayne, IN 46825-1618

Mailing address

PO Box 283
Markle, IN 46770-0283
Phone (765) 215-1736

National Provider Directory

National Provider Directory

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": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1689104929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "MARKLE",
            "state": "IN",
            "postal_code": "467700283",
            "telephone_number": "765-215-1736",
            "fax_number": "260-206-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 DUPONT CIRCLE DR E STE 140",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251618",
            "telephone_number": "260-570-5414",
            "fax_number": "260-209-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN BOWMAN, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "765-215-1736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, HSPP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20042505A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.