Active NPI
Parent Psych LLC
- Adult Mental Health Clinic/Center
- Saint Augustine, FL
National Provider Identifier
1194547190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Meghan Owenz, PH.D., ABPP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Saint Augustine, FL
- NPI 1902010325
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.