NPIMap

Organization Active NPI

Travis H. Owens, Psy.D. Inc.

  • Clinical Psychologist
  • Roseville, CA
National Provider Identifier
1275762452
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TRAVIS H. OWENS, PSY.D. INC.
Practice address
1891 E Roseville Pkwy Ste 100
Roseville, CA 95661-7974
Phone
(916) 789-7082
Fax
(916) 797-8840
NPI assigned
Jul 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Dr. Travis Henry Owens, PSY.D.NPI 1427197540
Title
President
Phone
(916) 789-7082

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1891 E Roseville Pkwy Ste 100
Roseville, CA 95661-7974

Mailing address

1891 E Roseville Pkwy Ste 100
Roseville, CA 95661-7974
Phone (916) 789-7082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091005000193 CA Part B Supplier - Clinic/Group Practice 0143366294 Receives reassigned benefits from 1 practitioner
Practice locations: Roseville, CA

National Provider Directory

National Provider Directory

Locations

1891 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 789-7082

Practitioners & affiliated clinicians

Practitioners 12

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": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1275762452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 E ROSEVILLE PKWY STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617974",
            "telephone_number": "916-789-7082",
            "fax_number": "916-797-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 E ROSEVILLE PKWY STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617974",
            "telephone_number": "916-789-7082",
            "fax_number": "916-797-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS H. OWENS, PSY.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-789-7082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.

Verify at the official NPI Registry.