Active NPI
Deanna L. Owen, PH.D.
- Psychologist
- Memphis, TN
National Provider Identifier
1861516411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2184
- Practice address
- 5154 Stage Rd
Suite 102
Memphis, TN 38134-3118 - Phone
- (901) 372-9133
- Fax
- (901) 372-1015
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2184 | TN | Primary |
Addresses
Primary practice location
5154 Stage Rd
Suite 102
Memphis, TN 38134-3118
Mailing address
5154 Stage Rd
Suite 102
Memphis, TN 38134-3118
Phone (901) 372-9133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134262 | Other | TN | CIGNA PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 11, 2025 through Mar 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2184 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861516411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5154 STAGE RD",
"address_2": "SUITE 102",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381343118",
"telephone_number": "901-372-9133",
"fax_number": "901-372-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5154 STAGE RD",
"address_2": "SUITE 102",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381343118",
"telephone_number": "901-372-9133",
"fax_number": "901-372-1015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "DEANNA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "2184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER #",
"identifier": "2134262",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.