Active NPI
Shannon Marie Lowder, PSY.D.
- Clinical Psychologist
- Jackson, MI
National Provider Identifier
1700047297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301010931
- Practice address
- 6692 Spring Arbor Rd
Jackson, MI 49201-9322 - Phone
- (517) 750-3869
- Fax
- (517) 750-3673
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301010931 | MI | Primary |
Addresses
Primary practice location
6692 Spring Arbor Rd
Jackson, MI 49201-9322
Mailing address
6692 Spring Arbor Rd
Jackson, MI 49201-9322
Phone (517) 750-3869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
207 1St St
Jackson, MI 49201-2102
Phone (517) 998-4673
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010931 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowder Psychology Group | Clinical | Past | Accepting new patients |
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.
-
- Psychologist
- Jackson, MI
- NPI 1275885881
-
- Clinical Psychologist
- Jackson, MI
- NPI 1700701422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1700047297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6692 SPRING ARBOR RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492019322",
"telephone_number": "517-750-3869",
"fax_number": "517-750-3673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6692 SPRING ARBOR RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492019322",
"telephone_number": "517-750-3869",
"fax_number": "517-750-3673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWDER",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301010931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.