Angela Michelle Owen-Killar, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2091 Issued in NC

Practice address

236 Le Phillip CT
Suite D
Concord, NC 28025-1905

Phone

(704) 786-4503

NPI assigned

Nov 10, 2006

Last updated

Oct 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: angie.owenkillar@direct.covenantcms.nchie.net

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1629149026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 LE PHILLIP CT NE STE D",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251917",
            "telephone_number": "704-652-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 LE PHILLIP CT",
            "address_2": "SUITE D",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251905",
            "telephone_number": "704-786-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN-KILLAR",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2091",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "046JX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Outlook Forensic & Behavioral Health
• Outreach Healthcare Services
• Crystal Overcash, RN
• Stephan D Overcash, C.P.
• Matthew Hill Overton, M.D.
• Jill Owen
• Rhett Owensby, MA,LCMHC,LCAS,CCS
• Richard Vince Ozment, M.D.
• Caroline Ogbum Pace
• Jackie B Pace, FNP

• Psychologist in Concord, NC
• Providers in Concord, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.