Active NPI
Courtney Marie Owens
- School Psychologist
- Astoria, NY
National Provider Identifier
1134746308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1407278201
- Practice address
- 2421 41St St Apt 5F
Astoria, NY 11103-3252 - Phone
- (585) 794-0753
- NPI assigned
- Jul 2, 2020
- Last updated
- Jul 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1407278201 | NY | Primary |
Addresses
Primary practice location
2421 41St St Apt 5F
Astoria, NY 11103-3252
Mailing address
2421 41St St Apt 5F
Astoria, NY 11103-3252
Phone (585) 794-0753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1407278201 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593648000000",
"number": "1134746308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 41ST ST APT 5F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033252",
"telephone_number": "585-794-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 41ST ST APT 5F",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033252",
"telephone_number": "585-794-0753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "COURTNEY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-02",
"last_updated": "2020-07-02",
"certification_date": "2020-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "1407278201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.