Individual provider Active NPI

James Owen, PSY D

  • Clinical Psychologist
  • Mountainside, NJ
National Provider Identifier
1912033556
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
SI001895 Issued in NJ
Practice address
1152 Springfield Ave
Mountainside, NJ 07092
Phone
(908) 233-2242
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SI001895 NJ Primary

Addresses

Primary practice location

1152 Springfield Ave
Mountainside, NJ 07092

Mailing address

1152 Springfield Ave
Mountainside, NJ 07092

Other names 1

  • James E Owen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SI001895NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Counseling Services Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912033556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 SPRINGFIELD AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "07092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 SPRINGFIELD AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "07092",
            "telephone_number": "908-233-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI001895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "OWEN",
            "middle_name": "E",
            "credential": "PSY D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mountainside, NJ

Sources for this page

Verify at the official NPI Registry.