GLEN BOWMAN CLINICAL PSYCHOLOGIS
NPI 1114349867
Psychologist in Charlottesville, VA

Active since January 15, 2014PECOS EnrolledAccepts Medicare Assignment
2300 COMMONWEALTH DR, SUITE 100, CHARLOTTESVILLE, VA 22901(434) 812-4009 Get Directions Write a Review

NPPES record last updated: November 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen Bowman Clinical Psychologis NPPES

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

GLEN BOWMAN CLINICAL PSYCHOLOGIS (NPI 1114349867) is an individual psychologist in Charlottesville, Virginia, licensed in Virginia (0810002117) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1114349867
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameGLEN BOWMANCredential: CLINICAL PSYCHOLOGIS
Location Address2300 COMMONWEALTH DR, SUITE 100Charlottesville, VA 22901-1622
Mailing Address2300 Commonwealth Dr, Suite 100Charlottesville, VA 22901-1622 · (434) 812-4009
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 15, 2014
Last NPPES UpdateNovember 3, 2015
NPI 1114349867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in VA · 0810002117
Definition
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 0810002117 (VA)
2300 COMMONWEALTH DR, Charlottesville, VA 22901

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Glen Bowman Clinical Psychologis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385917848
PECOS Enrollment IDI20170905001351
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
2300 COMMONWEALTH DR, #100
CHARLOTTESVILLE, VA 22901
Counselor (Mental Health)
2300 COMMONWEALTH DR, SUITE 100
CHARLOTTESVILLE, VA 22901
Psychologist (Clinical)
2300 COMMONWEALTH DR, SUITE 100
CHARLOTTESVILLE, VA 22901
Counselor (Professional)
2300 COMMONWEALTH DR, #100
CHARLOTTESVILLE, VA 22901

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 Glen Bowman's NPI number?

The NPI number for Glen Bowman is 1114349867. It was assigned to this individual provider in the NPPES registry on January 15, 2014.

Where is Glen Bowman located?

Glen Bowman practices at 2300 Commonwealth Dr Suite 100, Charlottesville, VA 22901. The listed phone number is (434) 812-4009.

What is Glen Bowman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Glen Bowman enrolled in Medicare?

Yes. Glen Bowman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Glen Bowman accept?

Health plans from Providence Health Plan list Glen Bowman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glen Bowman was last updated on November 3, 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.