Organization Active NPI

William R. McGowan, PH.D. Licensed Psychologist, P.C.

  • Psychologist
  • Columbus, GA
National Provider Identifier
1689730707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1407 Issued in GA
Legal business name
WILLIAM R. MCGOWAN, PH.D. LICENSED PSYCHOLOGIST, P.C.
Practice address
4015 Woodruff Rd
Columbus, GA 31904-6851
Phone
(706) 324-4919
Fax
(706) 324-4960
NPI assigned
Jan 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Robert McGowan, PH.D.NPI 1902912942
Title
President
Phone
(706) 324-4919

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1407 GA Primary

Addresses

Primary practice location

4015 Woodruff Rd
Columbus, GA 31904-6851

Mailing address

4015 Woodruff Rd
Columbus, GA 31904-6851
Phone (706) 324-4919

National Provider Directory

National Provider Directory

Locations

4015 Woodruff Rd
Columbus, GA 31904
Phone (706) 324-4919

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": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689730707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 WOODRUFF RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046851",
            "telephone_number": "706-324-4919",
            "fax_number": "706-324-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 WOODRUFF RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046851",
            "telephone_number": "706-324-4919",
            "fax_number": "706-324-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. MCGOWAN, PH.D. LICENSED PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-324-4919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "1407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.