Rowan Tree Therapy LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ROWAN TREE THERAPY LLC

Practice address

13852 Grey Friars LN
Midlothian, VA 23113-3938

Phone

(804) 464-7763

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Starr Rowan, PH.D.NPI 1649568338

Title

Sole Owner/Provider

Phone

(804) 464-7763

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

• Kimberly Starr Rowan, PHD

  • Clinical Psychologist
  • Midlothian, VA
  • NPI 1649568338
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1861117079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13852 GREY FRIARS LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133938",
            "telephone_number": "804-464-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13852 GREY FRIARS LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133938",
            "telephone_number": "804-464-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWAN TREE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "ROWAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "STARR",
        "authorized_official_title_or_position": "SOLE OWNER/PROVIDER",
        "authorized_official_telephone_number": "804-464-7763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649568338",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Camille Rossi, OTR/L
• Stephanie Ramsey Roth, MES
• Kayla Iverson Rothrock, PT, DPT
• Stacey A Roumillat, PA
• Krista Lorraine Rounds, DO
• Kimberly Starr Rowan, PHD
• Roxann L. Robinson, O.D., P.C.
• Royal Treatment LLC (Royal Treatment)
• Royalty Concierge & Men's Health (Royalty Men's Health)
• Olivia Royster

• Clinical Psychologist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.