DR. NEAL A BOWEN (NPI# 1942287602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942287602 |
| Entity Type | Individual |
| Full Name | DR. NEAL A BOWEN |
| Credential | PHD, LPCC |
| Practice Address |
530 Demoss St. Hidalgo Medical Services Lordsburg NM 88045-2618 |
| Mailing Address |
530 Demoss Street Hidalgo Medical Services Lordsburg NM 88045-2618 |
| Practice Telephone | 5055422371 |
| Practice Fax Number | 5755422388 |
| Mailing Telephone | 5055422371 |
| Mailing Fax Number | 5755422388 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2014-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 0088451 | NM | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LH00008191 | WA | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1020 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 34186875 | 05 | |
| NM | MEDICARE PTAN | 342730907 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063585933 | Neal Ross Bowen | Clinical Neuropsychologist | 2580 Foxfield Rd, Ste 101-4, St Charles, IL 60174-1403 | 2006-11-16 |
| Street Address |
530 DEMOSS ST. HIDALGO MEDICAL SERVICES |
| City | LORDSBURG |
| State | NM |
| Zip Code | 88045-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952793465 | Louis A. Pena | General Practice | 530 Demoss St., Lordsburg, NM 88045-2618 | 2015-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801224969 | Patrick Kelly Saucedo | Case Manager/Care Coordinator | 332 E. Motel Dr., Lordsburg, NM 88045 | 2013-10-28 |
| 1952749459 | Edgar Eduardo Gomez | Case Manager/Care Coordinator | 332 East Motel Drive, Lordsburg, NM 88045 | 2013-06-06 |
| 1265601652 | Kristene C. Sheryl | Counselor | 332 E. Motel Drive, Lordsburg, NM 88045 | 2008-02-29 |
| 1811396823 | Efstathia Yerende | Counselor | 530 De Moss St, Lordsburg, NM 88045 | 2014-08-14 |
| 1073931457 | Kerena Barron | Case Manager/Care Coordinator | 332 East Motel Drive, Lordsburg, NM 88045 | 2014-04-02 |
| 1972711687 | Steven Cecil Jones | Pharmacist | 530 Demoss St, Lordsburg, NM 88045 | 2007-05-18 |
| 1497878003 | Sara C Johnson | Speech-Language Pathologist | 500 Ownby St, Lordsburg, NM 88045 | 2007-04-09 |
| 1669429189 | Abeyta Physical Therapy & Sports Medicine Inc | Physical Therapist | 114 E Motel Dr, Lordsburg, NM 88045 | 2006-05-29 |
| 1508864133 | Frank Peacock | Dentist | 530 Demoss Street, Lordsburg, NM 88045 | 2005-07-08 |
| 1235143819 | James Bartlem Holder IIi | Internal Medicine | 167 North Main Street, Tuba City, AZ 88045-0600 | 2006-07-28 |
| Find all providers in zip 88045 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366056 | Katherine Imislund-clark, Lpcc | Psychologist | 122 Girard Blvd Se Apt B, Albuquerque, NM 87106-2286 | 2020-11-02 |
| 1952901647 | Debra Ann Carter Lpcc LLC | Psychologist | 3321b Candelaria Rd Ne Ste 402, Albuquerque, NM 87107-1908 | 2020-10-30 |
| 1417564568 | Sacred Soul Psychology Inc | Psychologist | 4362 Village Loop, Santa Fe, NM 87507-1833 | 2020-09-23 |
| 1831710490 | Zia Community Cares, LLC | Psychologist | 5400 Gibson Blvd, Building 11, Albuquerque, NM 87108-8710 | 2020-05-05 |
| 1962974600 | Jeffrey Alan Franken | Psychologist | 9 Calle Ponderosa, Placitas, NM 87043-9328 | 2018-12-19 |
| 1629558838 | Ocotillo Psychological Services LLC | Psychologist | 2801 Missouri Ave Ste 36, Las Cruces, NM 88011-9151 | 2018-08-16 |
| 1770087520 | Catherine Hammitt | Psychologist | 701 Los Lentes Rd Ne, Los Lunas, NM 87031-7362 | 2018-03-19 |
| 1629585534 | Tracie Hitter | Psychologist | 1830 Myrtle Ave, Las Cruces, NM 88001-5245 | 2018-01-02 |
| 1154792919 | James M Nolan | Psychologist | 4719 Contenta Rdg, Santa Fe, NM 87507-6603 | 2015-10-19 |
| 1528450061 | Giving Tree Counseling, LLC | Psychologist | 8901 San Diego Ave Ne, Albuquerque, NM 87122-3636 | 2015-02-20 |
| Find all providers with the same taxonomy | ||||
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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.