Active NPI
Deahdra D Bowier, PSYD
- Clinical Psychologist
- Santa Cruz, CA
National Provider Identifier
1740820323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3324-57
- Practice address
- Counseling & Psychological Services
1156 High Street
Santa Cruz, CA 95064 - Phone
- (831) 459-2628
- NPI assigned
- Jan 10, 2020
- 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 | 3324-57 | WI | Primary |
Addresses
Primary practice location
Counseling & Psychological Services
1156 High Street
Santa Cruz, CA 95064
Mailing address
Counseling & Psychological Services
1156 High Street
Santa Cruz, CA 95064
Phone (831) 459-2628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 17, 2025 through Jun 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3324-57 | WI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1740820323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COUNSELING & PSYCHOLOGICAL SERVICES",
"address_2": "1156 HIGH STREET",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95064",
"telephone_number": "831-459-2628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COUNSELING & PSYCHOLOGICAL SERVICES",
"address_2": "1156 HIGH STREET",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95064",
"telephone_number": "831-459-2628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWIER",
"first_name": "DEAHDRA",
"middle_name": "D",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "3324-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.