Active NPI
Tyson John Owen, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Plano, TX
National Provider Identifier
1982436705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1195478
- Practice address
- 5038 Tennyson Pkwy Ste B
Plano, TX 75024-2965 - Phone
- (469) 990-3626
- NPI assigned
- Aug 19, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1195478 | TX | Primary |
Addresses
Primary practice location
5038 Tennyson Pkwy Ste B
Plano, TX 75024-2965
Mailing address
4606 Cedar Springs Rd Apt 1123
Dallas, TX 75219-7206
Phone (972) 391-8855
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1195478 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mboc Texas, PLLC | Past | Accepting new patients | |
| Mbo Texas, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Southlake, TX
- NPI 1730959818
-
- Psychiatry Physician
- Southlake, TX
- NPI 1700656873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1982436705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 CEDAR SPRINGS RD APT 1123",
"city": "DALLAS",
"state": "TX",
"postal_code": "752197206",
"telephone_number": "972-391-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5038 TENNYSON PKWY STE B",
"city": "PLANO",
"state": "TX",
"postal_code": "750242965",
"telephone_number": "469-990-3626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "TYSON",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-19",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1195478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.