MARY K BOWMAN PH.D
NPI 1619065885
Psychologist - Clinical in Tipp City, OH

Active since October 11, 2006Opted out of Medicare · through Oct 10, 2026
15 W MAIN ST, TIPP CITY, OH 45371(937) 667-1113(937) 667-9099 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary K Bowman Ph.d NPPES

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

MARY K BOWMAN PH.D (NPI 1619065885) is an individual clinical provider in Tipp City, Ohio, licensed in Ohio (5039) and active in the NPI registry since October 2006. She has opted out of Medicare through October 10, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619065885
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARY K BOWMANCredential: PH.D
Location Address15 W MAIN STTipp City, OH 45371-1808
Mailing Address15 W Main StTipp City, OH 45371-1808 · (937) 667-1113 · Fax (937) 667-9099
Fax(937) 667-9099
Sole ProprietorYes
Enumeration DateOctober 11, 2006
Last NPPES UpdateMarch 24, 2014
NPI 1619065885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OH · 5039
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

15 W MAIN ST, Tipp City, OH 45371

Other Identifiers 2

Medicaid0212157OH
Medicare PINCP18342OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mary K Bowman 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 October 10, 2014 through October 10, 2026.

Opt-Out Effective DateOctober 10, 2014
Opt-Out In Effect ThroughOctober 10, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45371 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Psychologist
15 W MAIN ST
TIPP CITY, OH 45371
Psychologist
15 W MAIN ST
TIPP CITY, OH 45371

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 Mary Bowman's NPI number?

The NPI number for Mary Bowman is 1619065885. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Mary Bowman located?

Mary Bowman practices at 15 W Main St, Tipp City, OH 45371. The listed phone number is (937) 667-1113.

What is Mary Bowman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mary Bowman enrolled in Medicare?

No. Mary Bowman has opted out of Medicare through October 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Bowman was last updated on March 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.