Individual provider Active NPI

Jeffrey Owen

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1144636176
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6838 Issued in OK
Practice address
4870 S Lewis Ave Ste 240
Tulsa, OK 74105-5153
Phone
(918) 982-6524
Fax
(539) 399-7559
NPI assigned
Jul 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 6838 OK Primary

Addresses

Primary practice location

4870 S Lewis Ave Ste 240
Tulsa, OK 74105-5153

Mailing address

4870 S Lewis Ave Ste 240
Tulsa, OK 74105-5153
Phone (918) 982-6524

Other practice location 1

9228 S Mingo Rd Ste 101
Tulsa, OK 74133-5721
Phone (918) 221-0877

Other practice location 2

932 E 34th St
Joplin, MO 64804-3932
Phone (417) 347-7600

Other practice location 3

4502 E 41st St
Tulsa, OK 74135-2536
Phone (918) 660-3103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200122000884 OK Practitioner - Psychiatry 4183929771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oklahoma State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tulsa Metro Psychiatry, LLCGroup PAC ID 0840701850, 5 clinicians

Practice addresses (Care Compare)

4870 S Lewis Ave
Suite 240
Tulsa, OK 74105-5153
Phone (918) 982-6524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6838OKMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Metro Psychiatry, LLC CurrentSince Apr 5, 2025 Accepting new patients

Locations

4870 S Lewis Ave
Ste 240
Tulsa, OK 74105
Phone (918) 982-6524

Interoperability endpoints

  • Direct secure messaging: tulsametropsychiatry.jeffreyowen@160754.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1144636176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS AVE STE 240",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741055153",
            "telephone_number": "918-982-6524",
            "fax_number": "539-399-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 S LEWIS AVE STE 240",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741055153",
            "telephone_number": "918-982-6524",
            "fax_number": "539-399-7559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9228 S Mingo Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741335721",
            "country_code": "US",
            "telephone_number": "918-221-0877",
            "fax_number": "918-660-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 E 34th St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043932",
            "country_code": "US",
            "telephone_number": "417-347-7600",
            "fax_number": "417-347-9810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4502 E 41st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352536",
            "country_code": "US",
            "telephone_number": "918-660-3103",
            "fax_number": "918-660-3631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "6838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.