Organization Active NPI

Kathleen a Bowen NP of Psychiatry PC.

  • Cognitive & Behavioral Psychologist
  • East Setauket, NY
National Provider Identifier
1912223595
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
F401202-1 Issued in NY
Legal business name
KATHLEEN A BOWEN NP OF PSYCHIATRY PC.
Practice address
28 N Country Rd
East Setauket, NY 11733-1347
Phone
(631) 689-5390
Fax
(631) 689-5395
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Kathleen A Bowen, N.P.
Title
Owner/Nursepractitioner
Phone
(631) 689-5390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X F401202-1 NY Primary

Addresses

Primary practice location

28 N Country Rd
East Setauket, NY 11733-1347

Mailing address

28 N Country Rd
East Setauket, NY 11733-1347
Phone (631) 689-5390

National Provider Directory

National Provider Directory

Locations

100 N Country Rd
Ste 2
Setauket, NY 11733
Phone (631) 751-7200

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1912223595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N COUNTRY RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331347",
            "telephone_number": "631-689-5390",
            "fax_number": "631-689-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N COUNTRY RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331347",
            "telephone_number": "631-689-5390",
            "fax_number": "631-689-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN A BOWEN NP OF PSYCHIATRY PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/NURSEPRACTITIONER",
        "authorized_official_telephone_number": "631-689-5390",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "F401202-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.