Organization Active NPI

Timothy G. McGowan, PH.D. Psychologist

  • Clinical Psychologist
  • Massapequa, NY
National Provider Identifier
1922997782
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TIMOTHY G. MCGOWAN, PH.D. PSYCHOLOGIST
Practice address
567 Broadway
Massapequa, NY 11758-5019
Phone
(631) 683-8696
NPI assigned
Jun 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Authorized official

Name
Dr. Timothy G. McGowan, PH.D.NPI 1154085835
Title
President
Phone
(631) 683-8696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

567 Broadway
Massapequa, NY 11758-5019

Mailing address

567 Broadway
Massapequa, NY 11758-5019
Phone (631) 683-8696

National Provider Directory

National Provider Directory

Locations

567 Broadway
Massapequa, NY 11758
Phone (631) 683-8696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1922997782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585019",
            "telephone_number": "631-683-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585019",
            "telephone_number": "631-683-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY G. MCGOWAN, PH.D. PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-683-8696",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; 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.