Organization Active NPI

Parent Psych LLC

  • Adult Mental Health Clinic/Center
  • Saint Augustine, FL
National Provider Identifier
1194547190
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PARENT PSYCH LLC
Practice address
416 Paseo Reyes Dr
Saint Augustine, FL 32095-8558
Phone
(904) 373-8871
NPI assigned
Oct 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Dr. Meghan Owenz, PH.D., ABPPNPI 1902010325
Title
Licensed Psychologist
Phone
(904) 373-8871

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

416 Paseo Reyes Dr
Saint Augustine, FL 32095-8558

Mailing address

101 Marketside Ave Ste 404
Ponte Vedra, FL 32081-1542
Phone (904) 373-8871

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1194547190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARKETSIDE AVE STE 404",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320811542",
            "telephone_number": "904-373-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 PASEO REYES DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320958558",
            "telephone_number": "904-373-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT PSYCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "OWENZ",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "904-373-8871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., ABPP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.