Individual provider Active NPI

Rachel Bowley, PSY.D.

  • Psychologist
  • Wantagh, NY
National Provider Identifier
1720337116
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
3330 Park Ave
Ste 9
Wantagh, NY 11793-3719
Phone
(631) 924-0008
NPI assigned
Aug 31, 2012
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NY Primary

Addresses

Primary practice location

3330 Park Ave
Ste 9
Wantagh, NY 11793-3719

Mailing address

1800 Gormley Ave
Merrick, NY 11566-3009
Phone (516) 250-0980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190403002259 NY Practitioner - Clinical Psychologist 2163763939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Wise Mind Psychological Services PLLCGroup PAC ID 1254672025, 6 clinicians

Practice addresses (Care Compare)

77 N Centre Ave
Suite 310
Rockville Centre, NY 11570-3923
Phone (516) 740-1590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Psychological Services P.L.L.C. CurrentSince Dec 5, 2018 Accepting new patients

Locations

401 Franklin Ave
Ste 310
Garden City, NY 11530
Phone (516) 740-1950

77 N Centre Ave
Ste 310
Rockville Ctr, NY 11570
Phone (516) 740-1590

3330 Park Ave
Ste 9
Wantagh, NY 11793
Phone (347) 741-9301

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1720337116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 GORMLEY AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663009",
            "telephone_number": "516-250-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PARK AVE",
            "address_2": "STE 9",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933719",
            "telephone_number": "631-924-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLEY",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

Verify at the official NPI Registry.