DR. BART JAMES FOWLER (NPI# 1003194564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003194564 |
| Entity Type | Individual |
| Full Name | DR. BART JAMES FOWLER |
| Credential | PSY.D. |
| Practice Address |
11802 Ne 117th Ave Vancouver WA 98662-1560 |
| Practice Telephone | 3608912000 |
| Practice Fax Number | 3609446965 |
| Mailing Telephone | 3608912000 |
| Mailing Fax Number | 3609446965 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY 60153263 | WA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 1297 | OR | Behavioral Health & Social Service Providers |
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
1297 | OR | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1297 | OR | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PY 60153263 | WA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY 6015326 | WA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1297 | OR | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PY 6015326 | WA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
1297 | OR | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PY 60153263 | WA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
1297 | OR | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PY 6015326 | WA | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
1297 | OR | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PY 6015326 | WA | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
1297 | OR | Behavioral Health & Social Service Providers |
| Street Address |
11802 NE 117TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083880801 | Charis Counseling Associates | Community/Behavioral Health | 11802 Ne 117th Ave, Vancouver, WA 98662-1560 | 2008-05-01 |
| 1831703982 | Julie Watson | Counselor | 11802 Ne 117th Ave, Vancouver, WA 98662-1560 | 2020-09-05 |
| 1447779004 | Jamie Laine Califf | Counselor | 11802 Ne 117th Ave, Vancouver, WA 98662-1560 | 2017-09-14 |
| 1932504586 | Kevin L Storm | Counselor | 11802 Ne 117th Ave, Vancouver, WA 98662 | 2014-10-24 |
| 1649550419 | Mae Marie Soderquist-bell | Counselor | 11802 Ne 117th Ave, Vancouver, WA 98662-1560 | 2011-08-24 |
| 1649558164 | Lauri Borgmeyer | Counselor | 11802 Ne 117th Ave, Vancouver, WA 98662-1560 | 2011-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881969558 | Adina Christiana Gabor-gagea | Psychologist | 1002 Ne 91st Ave, Vancouver, WA 98664-2421 | 2012-03-14 |
| 1780958116 | Sherrie Ann Davis | Psychologist | 16904 Se 1st Street Suite 104, Vancouver, WA 98684-8723 | 2012-03-02 |
| 1285938241 | Chuck Weisser, Phd. PC | Psychologist | 754 Officers Row, Vancouver, WA 98661-3845 | 2011-01-05 |
| 1396051520 | Jennifer Leigh Cotton | Psychologist | 2103 Ne 129th St, Suite 101, Vancouver, WA 98686-3268 | 2010-08-25 |
| 1457670820 | Amanda V Weatherby | Psychologist | 400 E Evergreen Blvd Ste 210, Vancouver, WA 98660-3264 | 2010-05-25 |
| 1679742100 | Amy Gruber | Psychologist | 2312 Ne 129th St Ste 100, Vancouver, WA 98686-3236 | 2008-02-28 |
| 1659570067 | Pamela Marie Kimsey | Psychologist | 108 W 23rd St, Vancouver, WA 98660-2621 | 2007-07-16 |
| 1629296579 | Jon Edward Ingram | Psychologist | 1514 E St, Suite A, Vancouver, WA 98663-3441 | 2007-04-23 |
| 1548312630 | Taryn E. Markee | Psychologist | 2009 F Street, Vancouver, WA 98663 | 2007-01-17 |
| 1275638181 | Brian John Adams | Psychologist | 1498 Se Tech Center Pl Ste 385, Northwest Psychological Resources, Vancouver, WA 98683-5508 | 2006-09-14 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.