Active NPI
Dale Allan Owens, MS
- Clinical Child & Adolescent Psychologist
- Murray, KY
National Provider Identifier
1518136720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 0636
- Practice address
- 206 S 6TH St
Murray, KY 42071-2516 - Phone
- (270) 759-9993
- NPI assigned
- Feb 22, 2008
- 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 Child & Adolescent Psychologist | 103TC2200X | 0636 | KY | Primary |
Addresses
Primary practice location
206 S 6TH St
Murray, KY 42071-2516
Mailing address
206 S 6TH St
Murray, KY 42071-2516
Phone (270) 759-9993
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1518136720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 S 6TH ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712516",
"telephone_number": "270-759-9993",
"fax_number": "270-753-9827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S 6TH ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712516",
"telephone_number": "270-759-9993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "DALE",
"middle_name": "ALLAN",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "KY",
"license": "0636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.