Terry Rich Bowen

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

ALLS2056 Issued in ME

Practice address

13 Parkside Lane
Belfast, ME 04915

Phone

(207) 338-1507

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740404722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PARKSIDE LANE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "04915",
            "telephone_number": "207-338-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PARKSIDE LANE",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "04915",
            "telephone_number": "207-338-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "TERRY",
        "middle_name": "RICH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "ALLS2056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202240000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunny Rae Bolduc, OT/L, CLT
• Benjamin Borkan, LCSW
• Mauricio Botero-Velez, M.D.
• Denise M Bouchard, DNPC
• Diantha Sarah Bovey, LCSW
• Katherine Bowles, PT
• May E Brassbridge
• Robin Yale Brawn, COTA L
• Daniel J Britton, MD
• Megan R Britton, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Belfast, ME
• Providers in Belfast, ME by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.