Owl Intervention Sevices

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NONE

Legal business name

OWL INTERVENTION SEVICES

Practice address

686-700 Highway 36
Susanville, CA 96130-0444

Phone

(530) 257-9266

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William Harry Graf, M.S.

Title

On Call Mentel Health Contractor

Phone

(530) 257-9366

Specialties & licenses 1

Addresses

Other names 1

• None Doing business as

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1831256312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961300444",
            "telephone_number": "530-257-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686-700 HIGHWAY 36",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961300444",
            "telephone_number": "530-257-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWL INTERVENTION SEVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "ON CALL MENTEL HEALTH CONTRACTOR",
        "authorized_official_telephone_number": "530-257-9366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Ellis O'Bryan, MFT
• Terri Kathleen O'Bryan, ACSW
• Denise Lyn Ogburn
• Lenis Yaneth Oseguera
• Owens, Inc.
• Jaclyn G Pak, DDS, MS
• Anthony Pangallo
• Roberta Pangallo
• Sukhbir S Pannu, MD
• Stacy Patrick

• Community/Behavioral Health Agency in Susanville, CA
• Providers in Susanville, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.