Individual provider Active NPI

Patricia L Owen, PH.D.

  • Clinical Psychologist
  • Roseville, CA
National Provider Identifier
1700948791
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23163 Issued in CA
Practice address
1430 Blue Oaks Blvd
Roseville, CA 95747
Phone
(559) 978-6606
NPI assigned
Dec 15, 2006
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY23163 CA Primary

Addresses

Primary practice location

1430 Blue Oaks Blvd
Roseville, CA 95747

Mailing address

5464 E Sunwood CT
Rocklin, CA 95677-3052
Phone (559) 978-6606

Other practice location 1

4440 N 1st St
Exceptional Parents Unlimited
Fresno, CA 93726-2304
Phone (559) 229-2000 ext. 519

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

State licenses

LicenseStateTypeSpecialty
PSY23163CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1700948791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5464 E SUNWOOD CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773052",
            "telephone_number": "559-978-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 BLUE OAKS BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95747",
            "telephone_number": "559-978-6606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 N 1st St",
            "address_2": "Exceptional Parents Unlimited",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937262304",
            "country_code": "US",
            "telephone_number": "559-229-2000 x519",
            "fax_number": "559-225-1046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23163",
            "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 Aug 15, 2018; 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.