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MR. JEB THOMAS FOWLER PH.D.
NPI 1023244852
Psychologist - Psychoanalysis in Cambridge, MA

Active since June 08, 2009Opted out of Medicare · through Jan 1, 2027
1 ARNOLD CIR STE 7, CAMBRIDGE, MA 02139(617) 444-9513 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jeb Thomas Fowler Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEB THOMAS FOWLER PH.D. (NPI 1023244852) is an individual psychoanalysis provider in Cambridge, Massachusetts, licensed in Massachusetts (10122) and active in the NPI registry since June 2009. He has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1023244852
Entity TypeIndividualMale
Primary Taxonomy103TP0814X
Provider Legal NameMR. JEB THOMAS FOWLERCredential: PH.D.
Location Address1 ARNOLD CIR STE 7Cambridge, MA 02139-2250
Mailing Address21 Bartlett Cres # 1Brookline, MA 02446-2208 · (617) 444-9513
Phone(617) 444-9513
Sole ProprietorYes
Enumeration DateJune 8, 2009
Last NPPES UpdateDecember 4, 2015
✔ NPI 1023244852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · PsychoanalysisBehavioral Health & Social Service Providers
Taxonomy Code103TP0814X
License✔ Licensed in MA · 10122
Definition
A psychologist whose specialty is distinguished from other specialties by its body of knowledge and its intensive treatment approaches. It aims at structural changes and modifications of a person's personality. Psychoanalysis promotes awareness of unconscious, maladaptive and habitually recurrent patterns of emotion and behavior, allowing previously unconscious aspects of the self to become integrated and promoting optimal functioning, healing and creative expression.
Also ListedPsychoanalystTaxonomy 102L00000X · License 10122 (MA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 10122 (MA)
1 ARNOLD CIR STE 7, Cambridge, MA 02139
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jeb Thomas Fowler Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARROLL PSYCHIATRIC SERVICES PLLC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1 ARNOLD CIR STE 7
CAMBRIDGE, MA 02139
Middlesex County (617) 397-4737
MISS DEVON PETERSON CARROLL APRN
Nurse Practitioner (Psychiatric/Mental Health)
1 ARNOLD CIR STE 7
CAMBRIDGE, MA 02139
Middlesex County (617) 397-4737

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeb Fowler's NPI number?

The NPI number for Jeb Fowler is 1023244852. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Where is Jeb Fowler located?

Jeb Fowler practices at 1 Arnold Cir Ste 7, Cambridge, MA 02139. The listed phone number is (617) 444-9513.

What is Jeb Fowler's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Psychoanalysis, with taxonomy code 103TP0814X.

Is Jeb Fowler enrolled in Medicare?

No. Jeb Fowler has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeb Fowler was last updated on December 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.