Philip B. Bowman, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

097.0107691 Issued in VT

Practice address

152 Maple St Ste 302
Middlebury, VT 05753-1168

Phone

(802) 388-1883

NPI assigned

Dec 26, 2020

Last updated

Dec 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1982291894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "EAST MIDDLEBURY",
            "state": "VT",
            "postal_code": "057400002",
            "telephone_number": "802-222-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MAPLE ST STE 302",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531168",
            "telephone_number": "802-388-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "PHILIP",
        "middle_name": "B.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-26",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "097.0107691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Eleanor Borden
• Jacqueline M Botala
• Justin P Bouchard, PRSS
• Charles Raymond Bowen, DMD
• Scott Martin Bowen, DMD MD MPH
• Mary Ann Dattilo Boyd, LICSW
• Johana Kashiwa Brakeley, M.D.
• Willis Breen, RPH
• Kayla Brenden, O.D.
• Mary Louise Brevda, MA

• Mental Health Counselor in Middlebury, VT
• Providers in Middlebury, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; 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.