Active NPI
Caitlyn Reis Owens, PHD
- Clinical Psychologist
- Staunton, VA
National Provider Identifier
1912611823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810008061
- Practice address
- 810 Reid St
Staunton, VA 24401-1764 - Phone
- (804) 651-5201
- NPI assigned
- Jan 6, 2023
- Last updated
- Jan 6, 2023
- 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 | 0810008061 | VA | Primary |
Addresses
Primary practice location
810 Reid St
Staunton, VA 24401-1764
Mailing address
810 Reid St
Staunton, VA 24401-1764
Phone (804) 651-5201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0810008061 | Other | VA | VIRGINIA BOARD OF PSYCHOLOGY LICENSE |
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 |
|---|---|---|---|
| 0810008061 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1912611823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 REID ST",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244011764",
"telephone_number": "804-651-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 REID ST",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244011764",
"telephone_number": "804-651-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "CAITLYN",
"middle_name": "REIS",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810008061",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA BOARD OF PSYCHOLOGY LICENSE",
"identifier": "0810008061",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.