Individual provider Active NPI

Jason Edward Owen, PH.D., M.P.H.

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1356531040
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20699 Issued in CA
Practice address
401 Parnassus Ave
Box Apc0984
San Francisco, CA 94143-2211
Phone
(415) 476-7000
NPI assigned
Jul 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20699 CA Primary
Health Psychologist 103TH0004X

Addresses

Primary practice location

401 Parnassus Ave
Box Apc0984
San Francisco, CA 94143-2211

Mailing address

401 Parnassus Ave
Box Apc0984
San Francisco, CA 94143-2211
Phone (415) 476-7000

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)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1356531040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PARNASSUS AVE",
            "address_2": "BOX APC0984",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432211",
            "telephone_number": "415-476-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PARNASSUS AVE",
            "address_2": "BOX APC0984",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432211",
            "telephone_number": "415-476-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "credential": "PH.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-28",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "20699",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.