Active NPI
Patricia L Owen, PH.D.
- Clinical Psychologist
- Roseville, CA
National Provider Identifier
1700948791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY23163
- Practice address
- 1430 Blue Oaks Blvd
Roseville, CA 95747 - Phone
- (559) 978-6606
- NPI assigned
- Dec 15, 2006
- Last updated
- Aug 15, 2018
- Sex
- Female
- 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 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY23163 | CA | MD | Clinical 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.