Active NPI
St. Croix Behavioral Health Center, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kingshill, VI
National Provider Identifier
1255601951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 2-14664-1L
- Legal business name
- ST. CROIX BEHAVIORAL HEALTH CENTER, LLC
- Practice address
- 113 Barren Spot
The Village Mall Suite 107
Kingshill, VI 00850 - Phone
- (340) 692-2600
- Fax
- (340) 692-2602
- NPI assigned
- Jan 11, 2012
- Last updated
- Jan 11, 2012
- 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. Jewel V. Owen, PSY.D.
- Title
- Licensed Psychologist
- Phone
- (340) 692-2600
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 |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 2-14664-1L | VI | Primary |
Addresses
Primary practice location
113 Barren Spot
The Village Mall Suite 107
Kingshill, VI 00850
Mailing address
113 Barren Spot
The Village Mall Suite 107
Kingshill, VI 00850
Phone (340) 692-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Kingshill, VI
- NPI 1679554364
-
- Family Medicine Physician
- Christiansted, VI
- NPI 1891819017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326240000000",
"number": "1255601951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 BARREN SPOT",
"address_2": "THE VILLAGE MALL SUITE 107",
"city": "KINGSHILL",
"state": "VI",
"postal_code": "00850",
"telephone_number": "340-692-2600",
"fax_number": "340-692-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 BARREN SPOT",
"address_2": "THE VILLAGE MALL SUITE 107",
"city": "KINGSHILL",
"state": "VI",
"postal_code": "00850",
"telephone_number": "340-692-2600",
"fax_number": "340-692-2602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. CROIX BEHAVIORAL HEALTH CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A",
"authorized_official_last_name": "OWEN",
"authorized_official_first_name": "JEWEL",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "340-692-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "VI",
"license": "2-14664-1L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingshill, VI
- Jewel Victoria Owen, PSY.D.
- Jenissa Pemberton
- St Croix Health & Wellnes Center PC (West End Chiropractic)
- St Croix Health & Wellness Center P.C. (West End Chiropractic)
- St Croix Oral and Facial Healthcare Center, LLC
- St. Croix OBGYN
- The Apotheek LLC (The Apotheek Pharmacy and Medical Supplies)
- The Turning Point Senior Care LLC
- Olivine Anne Treasure, MD
- U Matter Home Health Care & CPR Services VI LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.