Jessica Marie Bowman, LLP, CIC-CPP, C-DBT

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361008001 Issued in MI

Practice address

19401 Northline Rd BLDG 5
Southgate, MI 48195-2277

Phone

(734) 785-7718

Fax

(734) 287-8221

NPI assigned

Nov 1, 2017

Last updated

Jan 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Guidance Center

  • Community/Behavioral Health Agency
  • Southgate, MI
  • NPI 1609947027
  NPD (past)

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1922510791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E ELM AVE APT 5",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622684",
            "telephone_number": "313-778-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 NORTHLINE RD BLDG 5",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952277",
            "telephone_number": "734-785-7718",
            "fax_number": "734-287-8221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31129 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481502103",
            "country_code": "US",
            "telephone_number": "734-890-9113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "LLP, CIC-CPP, C-DBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MI",
            "license": "6361008001",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MI",
            "license": "6361008001",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6361008001",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361008001",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6361008001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylen Bourdage
• Kate Bourdlais, DPT
• Jamel Cameron Bowers
• Amanda Lauren Bowman- Collins, PA-C
• Arieanna Bowman
• Charlene Boyd
• Colin Boyd
• Dawn Elizabeth Boyer-Shoup
• Laura Brandt
• Richard Brawley

• Clinical Psychologist in Southgate, MI
• Providers in Southgate, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.