Active NPI
Stephen Jerome Owens, PH.D., ABPP
- Clinical Psychologist
- Athens, OH
National Provider Identifier
1265457477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5795
- Practice address
- 510 W Union St
Athens, OH 45701-2331 - Phone
- (740) 593-7314
- Fax
- (740) 594-2804
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5795 | OH | Primary |
Addresses
Primary practice location
510 W Union St
Athens, OH 45701-2331
Mailing address
510 W Union St
Athens, OH 45701-2331
Phone (740) 593-7314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2304616 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5795 | OH | MD | Clinical Psychologist |
| 5975 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1265457477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 W UNION ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012331",
"telephone_number": "740-593-7314",
"fax_number": "740-594-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 W UNION ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012331",
"telephone_number": "740-593-7314",
"fax_number": "740-594-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "STEPHEN",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "PH.D., ABPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2304616",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.