DR. JAN LESLIE BOWMAN PH.D.
NPI 1730368754
Psychologist in Oakland, CA
- Individual
- Female
- Psychologist
- Opted-Out Medicare
About JAN BOWMAN
This page provides the complete NPI Profile along with additional information for Jan Bowman, a provider established in Oakland, California with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1730368754 assigned on October 2007. The practitioner's primary taxonomy code is 103T00000X with license number PSY12631 (CA). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1730368754 Verify this NPI
- Provider Name
- DR. JAN LESLIE BOWMAN PH.D.
- Other Name
- DR. JAN LESLIE GRAYSON PH.D.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 19 GLENEDEN AVE OAKLAND, CA 94611
- Location Phone
- (510) 594-9569
- Location Fax
- (415) 771-4395
- Mailing Address
- 19 GLENEDEN AVE OAKLAND, CA 94611
- Mailing Phone
- (510) 594-9569
- Mailing Fax
- (415) 771-4395
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-26-2007
- Last Update Date
- 10-26-2007
- Code Navigator
A psychologist like Jan Bowman studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jan Bowman opted out of Medicare effective on 05-10-2024 until 05-10-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY12631
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | PSY12631 (CA) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-10-2024
Opt-Out End Date: 05-10-2026
Eligible to Order and Refer? No
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730368754, enumerated as an "individual" on October 26, 2007.
The provider is located at 19 GLENEDEN AVE OAKLAND, CA 94611 and the phone number is (510) 594-9569.
Psychologist with taxonomy code 103T00000X.
