Organization Active NPI

William E Fowler

  • Clinical Child & Adolescent Psychologist
  • New Orleans, LA
National Provider Identifier
1760647663
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
665 Issued in LA
Legal business name
WILLIAM E FOWLER
Practice address
309 Crystal St
New Orleans, LA 70124-2619
Phone
(985) 781-0548
Fax
(985) 781-4319
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Mr. William E Fowler, PHDNPI 1033260849
Title
Owner
Phone
(985) 781-0548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X 665 LA Primary

Addresses

Primary practice location

309 Crystal St
New Orleans, LA 70124-2619

Mailing address

309 Crystal St
New Orleans, LA 70124-2619
Phone (985) 781-0548

Other identifiers 1

IdentifierTypeStateIssuer
1124320MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1760647663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 CRYSTAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242619",
            "telephone_number": "985-781-0548",
            "fax_number": "985-781-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CRYSTAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242619",
            "telephone_number": "985-781-0548",
            "fax_number": "985-781-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E FOWLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-781-0548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "LA",
            "license": "665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124320",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.