ANGIE M OWEN-KILLAR (NPI# 1629149026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629149026 |
| Entity Type | Individual |
| Full Name | ANGIE M OWEN-KILLAR |
| Credential | MA |
| Practice Address |
236 Le Phillip Ct Suite D Concord NC 28025-1905 |
| Mailing Address |
3053 Boy Scout Camp Rd Kannapolis NC 28081-8476 |
| Practice Telephone | 7047864503 |
| Mailing Telephone | 7047849832 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2091 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS PROVIDER NUMBER | 046JX | 01 |
| Street Address |
236 LE PHILLIP CT SUITE D |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376740423 | Rha Health Services Inc | Community/Behavioral Health | 236 Le Phillip Ct, Concord, NC 28025-1905 | 2007-07-02 |
| 1851417745 | Rha Health Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 236 Le Phillip Ct, Concord, NC 28025-1905 | 2007-03-22 |
| 1447376306 | Rha Health Services Inc | Community/Behavioral Health | 236 Le Phillip Ct, Concord, NC 28025-1905 | 2007-03-22 |
| 1073645412 | Rha Health Services, Inc. | Community/Behavioral Health | 236 Le Phillip Ct, Concord, NC 28025-1905 | 2007-03-12 |
| 1073645404 | Rha Health Services, Inc. | Community/Behavioral Health | 236 Le Phillip Ct, Concord, NC 28025-1905 | 2007-03-12 |
| 1730211160 | Rha Health Services, Inc. | Community/Behavioral Health | 236 Le Phillip Ct, Concord, NC 28025-1905 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1396394359 | Gary S. Rose Ph.d. LLC | Psychologist | 45 Walden St Ste 1, Concord, MA 01742-2513 | 2019-09-11 |
| 1689230872 | Julian Heath | Psychologist | 1001 Grand Summit Blvd Apt 1043, Concord, NC 28027-3732 | 2019-05-14 |
| 1013401595 | Karen Jo Giammusso Shapiro | Psychologist | 59 N Branch Rd, Concord, MA 01742-3807 | 2018-06-19 |
| 1558809335 | Tara Mcbride Afonso | Psychologist | 10 Ferry St Ste 313, Medoptions of New Hampshire, LLC., Concord, NH 03301-5004 | 2017-02-01 |
| 1053664524 | Elizabeth Lavenson Myers | Psychologist | 1157 Fair Weather Cir, Concord, CA 94518-1939 | 2012-10-22 |
| 1447528633 | Debra Ying Fah Tong | Psychologist | 1868 Clayton Rd Ste 126, Concord, CA 94520-2552 | 2011-12-02 |
| 1013202381 | Lauren J Brown | Psychologist | 81 Commonwealth Ave, Suite 8, Concord, MA 01742-2977 | 2011-06-15 |
| 1518274851 | Allison C Flynn | Psychologist | 281 Monsen Rd, Concord, MA 01742-1941 | 2010-09-08 |
| 1932330073 | Avninder Singh Anand | Psychologist | 1470 Civic Court, Suite 100, Concord, CA 94520 | 2009-08-06 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.