DR. ROWENA DORSEY (PSY.D.) – Psychologist, NPI 1083563597

DR. ROWENA DORSEY (PSY.D.) is a healthcare provider. based in Fort wayne, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. P.08904 (OH). The NPI Number for DR. ROWENA DORSEY (PSY.D.) is 1083563597

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROWENA DORSEY (PSY.D.)
NPI
1083563597
Phone
(574) 546-1900
Address
PO BOX 11167
Enumeration Date
27 January 2026
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5745461900
Graduation Year
2001 (25 years ago)
PAC ID
2769964170
Group Practice PAC ID
9739504523
Professional Enrollment ID
I20260304003833
Address ID
OH452331664CI990XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. ROWENA DORSEY (PSY.D.)

  • PO BOX 11167

    FORT WAYNE, IN 468561167

    Phone: (574) 546-1900

    Fax: (574) 546-1999

    Type: Mailing

  • 21 E STATE ST

    COLUMBUS, OH 432154281

    Phone: (574) 546-1900

    Fax: (574) 546-1999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260304003833IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46856)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739504523View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical PsychologistNY
Nurse PractitionerNC
Nurse PractitionerIN
Clinical Social WorkerKY
Nurse PractitionerOH
Clinical Social WorkerOH
Clinical Social WorkerKY
Clinical Social WorkerIL
Clinical PsychologistOH

Reviews

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Frequently asked questions

Is there an official ID for DR. ROWENA DORSEY (PSY.D.) in U.S. healthcare records?
The official identifier for DR. ROWENA DORSEY (PSY.D.) is NPI 1083563597.
Is DR. ROWENA DORSEY (PSY.D.) shown as active in public data?
Registry records indicate DR. ROWENA DORSEY (PSY.D.) maintains an active NPI.
What expertise is attributed to DR. ROWENA DORSEY (PSY.D.)?
DR. ROWENA DORSEY (PSY.D.)'s specialty line reads Psychologist. Clinical services aligned with this taxonomy classification.
Where in Indiana is DR. ROWENA DORSEY (PSY.D.) registered?
Use Fort Wayne, Indiana as the headline location for DR. ROWENA DORSEY (PSY.D.) here.
Can I trust this NPI listing for DR. ROWENA DORSEY (PSY.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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