Individual provider Active NPI

Larry J Cowley, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1912934209
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25876 Issued in AZ
Practice address
4451 E Oak St
Phoenix, AZ 85008-2410
Phone
(602) 685-6000
Fax
(602) 508-4492
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25876 AZ Primary

Addresses

Primary practice location

4451 E Oak St
Phoenix, AZ 85008-2410

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Other identifiers 1

IdentifierTypeStateIssuer
461434MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040303000419 AZ Practitioner - Psychiatry 7012804123 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25876AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Terros Inc CurrentSince Jan 11, 2025 Accepting new patients
Lifewell Behavioral Wellness CurrentSince Sep 21, 2015 Accepting new patients
Terros, Inc. Current Accepting new patients
Terros Inc CurrentSince Jan 11, 2025 Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Lifewell Behavioral Wellness PastSince Jun 22, 2021 Accepting new patients
Magellan Health Services of Arizona, Inc Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients

Locations

6915 E Main St
Ste 200
Mesa, AZ 85207

262 E University Dr
Mesa, AZ 85201
Phone 60280828005539

7303 E Main St
Ste 113
Mesa, AZ 85207
Phone (480) 396-6710

10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340

10844 N 23rd Ave
Ste 100200
Phoenix, AZ 85029

3540 E Baseline Rd
Phoenix, AZ 85042
Phone (623) 267-5200

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

4451 E Oak St
Ste 100
Phoenix, AZ 85008

4451 E Oak St
Phoenix, AZ 85008
Phone (602) 957-2220

3311 N 44th St
#100
Phoenix, AZ 85018
Phone (602) 957-2220

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

3540 E Baseline Rd
Ste 150
Phoenix, AZ 85042
Phone (480) 739-5784

40 E Mitchell Dr
Ste 100200
Phoenix, AZ 85012

2715 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-4331

10844 N 23rd Ave
Ste 100
Phoenix, AZ 85029
Phone (602) 208-2800

40 E Mitchell Dr
Ste 100
Phoenix, AZ 85012
Phone (602) 995-7474

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

Interoperability endpoints

  • Direct secure messaging: larry.cowleymd.p1@direct.lifewell.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1912934209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 E OAK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850082410",
            "telephone_number": "602-685-6000",
            "fax_number": "602-508-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWLEY",
        "first_name": "LARRY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "25876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "461434",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.