DR. MATTHEW WILLIAMS BOWEN (NPI# 1700825239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700825239 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW WILLIAMS BOWEN |
| Credential | PHD |
| Practice Address |
6 Old Farm Rd Charlottesville VA 22903-4722 |
| Practice Telephone | 4349624720 |
| Mailing Telephone | 4349624720 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 0810003577 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700246618 | Matthew W Bowen | Marriage & Family Therapist | 348 W Adams St, Burns, OR 97720-1710 | 2016-03-04 |
| 1407143324 | Matthew C Bowen | Family Medicine | 175 N 100 W, Suite 205a, Vernal, UT 84078-2049 | 2011-06-29 |
| 1619276425 | Matthew Bowen | Pharmacist | 1555 Northgate Mile, Idaho Falls, ID 83401-2014 | 2011-03-18 |
| 1174785182 | Matthew Allen Bowen | Otolaryngology | 1450 Farr Rd, Norton Shores, MI 49444-9738 | 2008-06-30 |
| 1619018173 | Matthew J Bowen | Psychologist | 339 Angell St, Providence, RI 02906-3245 | 2007-02-09 |
| Street Address |
6 OLD FARM RD |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821396920 | James Forrest Sanders | Clinical Neuropsychologist | 1960 Lewis Mountain Rd, Unit 1, Charlottesville, VA 22903-2463 | 2011-03-14 |
| 1427124825 | Victoria Pezzullo Tate | Clinical Neuropsychologist | 420 Third St Ne, Charlottesville, VA 22901 | 2006-11-28 |
| 1326009242 | Katherine L Willis | Clinical Neuropsychologist | 313 Steephill St, Charlottesville, VA 22902-5853 | 2006-03-30 |
| 1063918530 | Stephanie L Lenox | Clinical Neuropsychologist | 1215 Lee St, Charlottesville, VA 22908-0816 | 2018-04-03 |
| 1285000315 | Joyce Suh | Clinical Neuropsychologist | 1221 Lee St, Charlottesville, VA 22908-1534 | 2015-08-12 |
| 1063811487 | Laurie Brenner | Clinical Neuropsychologist | 1221 Lee St, Charlottesville, VA 22908-0001 | 2014-08-21 |
| 1962794685 | Lauren Ashley Chandler | Clinical Neuropsychologist | 1215 Lee St, Box 800394, Charlottesville, VA 22908-0816 | 2011-05-13 |
| 1790819910 | Donna K. Broshek | Clinical Neuropsychologist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2007-03-16 |
| 1992839534 | Jeffrey T. Barth | Clinical Neuropsychologist | Uva Hospital W, Hospital Drive, 3rd Floor, Charlottesville, VA 22908-0001 | 2007-03-15 |
| 1174692792 | Kathleen L. Fuchs | Clinical Neuropsychologist | 1221 Lee St, Charlottesville, VA 22908-0001 | 2006-11-07 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on DR. MATTHEW WILLIAMS BOWEN.
| 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.