Lowcountry Behavioral Pediatrics, LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC

Practice address

1525 Sam Rittenberg Blvd Ste 103
Charleston, SC 29407-4139

Phone

(509) 680-0093

NPI assigned

Mar 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Marie Fowler, PSYD.NPI 1013506963

Title

Sole Proprietor

Phone

(509) 680-0093

Specialties & licenses 1

Addresses

Other names 1

• LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC Doing business as

Locations

Practitioners 1

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

• Ashley Marie Fowler, PSYD.

  • Clinical Child & Adolescent Psychologist
  • Charleston, SC
  • NPI 1013506963
  NPD Authorized official

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

{
    "created_epoch": "1648339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1942950423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 COTTINGHAM DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643501",
            "telephone_number": "509-680-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 SAM RITTENBERG BLVD STE 103",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074139",
            "telephone_number": "509-680-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "509-680-0093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOWCOUNTRY BEHAVIORAL PEDIATRICS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Low Country Eye Care Inc
• Karly Low, PHARMD
• Lowcountry Ambulatory Center, LLC
• Lowcountry Ambulatory Center, LLC
• Lowcountry Balance & Hearing, LLC
• Lowcountry Behavioral Services
• Lowcountry Bridges, LLC
• Lowcountry Children'S Surgery Center, LLC
• Lowcountry Dental Arts, LLC
• Lowcountry Dermatology Associates

• Clinical Child & Adolescent Psychologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Clinical Child & Adolescent Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.