DR. SANDY A BOWERSOX (NPI# 1629248877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629248877 |
| Entity Type | Individual |
| Full Name | DR. SANDY A BOWERSOX |
| Credential | PHD |
| Practice Address |
3900 Washington Ave Ste 100 Evansville IN 47714-0550 |
| Mailing Address |
Po Box 13059 Belfast ME 04915-4021 |
| Practice Telephone | 8124856694 |
| Mailing Telephone | 3175833022 |
| Mailing Fax Number | 3175832199 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2016-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
20042330A | IN | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
20042330A | IN | Behavioral Health & Social Service Providers |
| Street Address |
3900 WASHINGTON AVE STE 100 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-0550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942275888 | Deborah K Goldman | Pediatrics | 3900 Washington Ave, Ste 100a, Evansville, IN 47714-0550 | 2006-02-22 |
| 1275097743 | Kim Allen | Dietitian, Registered | 3900 Washington Ave, Evansville, IN 47714-0550 | 2019-01-29 |
| 1780110239 | Kendra L Houchins | Nutritionist | 3900 Washington Ave, Ste 100, Evansville, IN 47714-0550 | 2017-05-03 |
| 1982086153 | Thomas David Mulderink | Psychologist | 3900 Washington Ave, Ste 100, Evansville, IN 47714-0550 | 2015-06-24 |
| 1649672056 | Keri H Montgomery | Nurse Practitioner | 3900 Washington Ave, Ste 100, Evansville, IN 47714-0550 | 2014-09-17 |
| 1497078190 | Jaime Lynn Below | Psychologist | 3900 Washington Ave, Ste 100, Evansville, IN 47714-0550 | 2010-03-09 |
| 1265769137 | Christina Anne Hamby | Nurse Practitioner | 3900 Washington Ave, Ste 100, Evansville, IN 47714-0550 | 2009-11-12 |
| 1871547042 | Antoinette Caldwell | Pediatrics | 3900 Washington Ave, Suite 100a, Evansville, IN 47714-0550 | 2006-05-20 |
| 1487640215 | Michael S Irish | Surgery | 3900 Washington Ave, Suite 100, Evansville, IN 47714-0550 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649892985 | Debra Reisinger | Psychologist | 1002 Wishard Blvd Ste 3120, Indianapolis, IN 46202-2872 | 2020-05-09 |
| 1306493465 | Child Thrive, LLC | Psychologist | 7863 Broadway Ste 239, Merrillville, IN 46410-5554 | 2019-08-23 |
| 1427583863 | Sarah M Ragonese | Psychologist | 5414 W Stonewood Dr, Bloomington, IN 47403-8010 | 2017-04-24 |
| 1508304023 | Kress Psychological Services, LLC | Psychologist | 755 W Carmel Dr Ste 201, Carmel, IN 46032-5878 | 2017-02-03 |
| 1548421100 | Uhs Midwest Center for Youth & Families | Psychologist | 2301 Cumberland Dr, Valparaiso, IN 46383-2537 | 2008-06-17 |
| 1881734697 | Possibilities Northeast, LLC. | Psychologist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1934 | 2007-02-08 |
| 1659439628 | Jessica Alyce Bissey | Psychologist | 424 Washington St Ste 7, Columbus, IN 47201-6790 | 2006-12-04 |
| 1538103254 | Iris M Crider-nash | Psychologist | 5218 S East St, Suite E-4, Indianapolis, IN 46227-1900 | 2006-06-15 |
| 1972547693 | Dionne Dynlacht | Psychologist | 12647 Geist Cove Dr, Indianapolis, IN 46236-7239 | 2006-06-15 |
| 1679514533 | Linda Ronald | Psychologist | 238 S 5th St, Richmond, IN 47374-5412 | 2006-06-09 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
Please comment or provide details below to improve the information on DR. SANDY A BOWERSOX.
| 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.