DR. JOHNATHAN L. FOWLER (PH.D.) – Psychologist, NPI 1760822027

DR. JOHNATHAN L. FOWLER (PH.D.) is a healthcare provider. based in Rockwall, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 1262 (SC). The NPI Number for DR. JOHNATHAN L. FOWLER (PH.D.) is 1760822027

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHNATHAN L. FOWLER (PH.D.)
NPI
1760822027
Phone
(972) 771-3969
Address
2237 Ridge Rd
Enumeration Date
2 July 2013
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9727713969
Graduation Year
2010 (16 years ago)
PAC ID
0648494864
Group Practice PAC ID
7618950296
Professional Enrollment ID
I20140610000235
Address ID
TX750875161RO2237XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. JOHNATHAN L. FOWLER (PH.D.)

  • 2237 Ridge Rd

    Suite 101

    Rockwall, TX 750875164

    Phone: (972) 771-3969

    Fax: (972) 771-8258

    Type: Location

  • 2237 RIDGE RD

    SUITE 101

    ROCKWALL, TX 750875164

    Phone: (972) 771-3969

    Fax: (972) 771-8258

    Type: Mailing

  • 761 JUSTIN RD STE B

    ROCKWALL, TX 750874877

    Phone: (214) 427-7423

    Type: Mailing

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: 2014-06-10

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
I20140610000235IClinical PsychologistTXTBD

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 75087)

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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: 7618950296View full group profile
NameSpecialtyState
Clinical PsychologistTX
Clinical PsychologistTX
-TX
Clinical PsychologistKY
Clinical PsychologistTX

Reviews

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Frequently asked questions

What is the registry number for DR. JOHNATHAN L. FOWLER (PH.D.)?
The registry entry for DR. JOHNATHAN L. FOWLER (PH.D.) shows NPI 1760822027.
Should I treat DR. JOHNATHAN L. FOWLER (PH.D.) as an active provider?
Patients and plans typically see DR. JOHNATHAN L. FOWLER (PH.D.) as active in the national extract.
What does the directory say DR. JOHNATHAN L. FOWLER (PH.D.) does?
Insurance directories may phrase it differently, but here DR. JOHNATHAN L. FOWLER (PH.D.) maps to Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JOHNATHAN L. FOWLER (PH.D.)?
The directory associates DR. JOHNATHAN L. FOWLER (PH.D.) with Rockwall, Texas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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