Erin R. Bowman, PHD, HSPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20042505A Issued in IN

Practice address

9910 Dupont Circle Dr E Ste 140
Fort Wayne, IN 46825-1618

Phone

(260) 570-4515

Fax

(260) 206-0762

NPI assigned

Jul 18, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Erin R Snyder Former name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Erin Bowman, PHD, LLC

  • Counseling Psychologist
  • Fort Wayne, IN
  • NPI 1689104929
  NPD (past) Authorized official

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942555628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "MARKLE",
            "state": "IN",
            "postal_code": "467700283",
            "telephone_number": "765-215-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 DUPONT CIRCLE DR E STE 140",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251618",
            "telephone_number": "260-570-4515",
            "fax_number": "260-206-0762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468055100",
            "country_code": "US",
            "telephone_number": "260-426-5431 x72804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "ERIN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PHD, HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042505A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA PSYCHOLOGIST LICENSE",
            "identifier": "20042505A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201094690",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SNYDER",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "PHD, HSPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haley Bowers
• Stephanie Bowers, OTR/L
• Tasha Christine Bowers, PA
• Gabrielle Corinna Bowie, CNM
• Christopher E. Bowman, DNP
• Bowser Family Dentistry LLC
• Kevin James Bowser, DDS
• Emily S Bowsher, M.D.
• Mark Alan Boxell, APRN, FNP-BC
• Addeline Boxerman

• Psychologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.