Colleen M Kowalke, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4545 Issued in AZ

Practice address

8150 N 61St Ave
Apt 2120
Glendale, AZ 85302-6764

Phone

(623) 261-8770

NPI assigned

Dec 26, 2007

Last updated

Feb 10, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Del Soul Counseling PLLC

  • Psychologist
  • Peoria, AZ
  • NPI 1265948863
  NPD Authorized official

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1760666895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 N 61ST AVE",
            "address_2": "APT 2120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853026764",
            "telephone_number": "623-261-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 N 61ST AVE",
            "address_2": "APT 2120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853026764",
            "telephone_number": "623-261-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALKE",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC12790",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Marie Kotowski, MOT, OTR/L
• Leslie A Kotsis, NP-ADULT
• Roshan Kottoor
• Alan Kovin, LASAC
• Lawrence E Kowal, MD
• Michael Robert Kozlowski, O.D., PH.D.
• Gina S. Kozul
• Aaron Kramer, D.O.
• April Krause, N.D.
• Michael L Kravetz, MD

• Clinical Psychologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.

Verify at the official NPI Registry.