Active NPI
Elizabeth M Fowler, EDD
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1932253325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 23681
- Practice address
- 1020 Holcombe Blvd
1304
Houston, TX 77030-2210 - Phone
- (713) 795-5354
- Fax
- (713) 795-4729
- NPI assigned
- Jan 22, 2007
- Last updated
- Apr 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 23681 | TX | Primary |
Addresses
Primary practice location
1020 Holcombe Blvd
1304
Houston, TX 77030-2210
Mailing address
1020 Holcombe Blvd
1304
Houston, TX 77030-2210
Phone (713) 795-5354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2016 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23681 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1932253325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 HOLCOMBE BLVD",
"address_2": "1304",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302210",
"telephone_number": "713-795-5354",
"fax_number": "713-795-4729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 HOLCOMBE BLVD",
"address_2": "1304",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302210",
"telephone_number": "713-795-5354",
"fax_number": "713-795-4729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "ELIZABETH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "23681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.