Jane Bowman Lischwe, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY10875 Issued in CA

Practice address

1818 Verdugo Blvd Ste 205
Glendale, CA 91208-1435

Phone

(818) 952-6103

NPI assigned

Jun 28, 2019

Last updated

Jun 28, 2019By 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 names 1

• Dr. Jane Bowman Estes Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1871155986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 KALMIA AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803041448",
            "telephone_number": "818-521-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 205",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081435",
            "telephone_number": "818-952-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISCHWE",
        "first_name": "JANE",
        "middle_name": "BOWMAN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "ESTES",
            "middle_name": "BOWMAN",
            "prefix": "DR.",
            "credential": "PH.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Clinical Psychologist in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.