TYLER E OWENS (NPI# 1649652173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649652173 |
| Entity Type | Individual |
| Full Name | TYLER E OWENS |
| Credential | PHD |
| Practice Address |
250 N Shadeland Ave Ste 200 Indianapolis IN 46219-4959 |
| Practice Telephone | 3179485450 |
| Practice Fax Number | 3179485450 |
| Enumeration Date | 2015-06-20 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 20043385A | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1313 Fish Hatchery Rd, Madison, WI 537151911 | 6082528000 | 6082837351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609268861 | Tyler Owens | Dentist | 3100 E Zora St, Webb City, MO 64870-9770 | 2015-02-25 |
| 1710540935 | Tyler Owens | Student in an Organized Health Care Education/Training Program | 1701 W Charleston Blvd Ste 490, Las Vegas, NV 89102-2309 | 2019-04-15 |
| 1134524820 | Tyler Owens | Specialist/Technologist | 805 Saint Vincents Dr Ste G-100, Birmingham, AL 35205-1637 | 2014-10-24 |
| 1740600576 | Tyler S Owens | Emergency Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2014-04-19 |
| Street Address |
250 N SHADELAND AVE STE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-4959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790880292 | Pediatric Surgical Associates Inc | Surgery | 250 N Shadeland Ave Ste 200, Indianapolis, IN 46219-4959 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497273015 | Jana Beth Dykstra | Clinical Neuropsychologist | 355 W 16th Street Goodman Hall, Indianapolis, IN 46202 | 2017-09-04 |
| 1558779355 | Neurobehavioral Consultants, LLC | Clinical Neuropsychologist | 4356 N College Ave, Indianapolis, IN 46205-1932 | 2014-07-24 |
| 1306170626 | Elizabeth Begyn | Clinical Neuropsychologist | 541 Clinical Dr # Cl285, Indianapolis, IN 46202-5233 | 2009-09-21 |
| 1215101696 | Michelle Anne Keiski | Clinical Neuropsychologist | 355 W 16th St Ste 4700, Indianapolis, IN 46202-2285 | 2008-04-17 |
| 1447477088 | Robert Nolan Mckinney | Clinical Neuropsychologist | 2596 N Girls School Rd, Indianapolis, IN 46214-2105 | 2007-04-18 |
| 1003833096 | Raymond W Horn | Clinical Neuropsychologist | 10293 N Meridian St Ste 210, Indianapolis, IN 46290-1079 | 2006-07-16 |
| 1255327748 | Gwen C Sprehn | Clinical Neuropsychologist | Dept of Neurology Indiana University School of Med, 541 Clinical Drive (cl-299), Indianapolis, IN 46202 | 2005-09-21 |
| 1972595684 | Leslie Jay Suga | Clinical Neuropsychologist | 6515 E 82nd St, Suite 210, Indianapolis, IN 46250-1576 | 2005-08-18 |
| 1285639476 | Odie L Bracy IIi | Clinical Neuropsychologist | 6555 Carrollton Ave, Indianapolis, IN 46220-1664 | 2005-06-15 |
| 1811506769 | Midwest Supervision and Evaluation | Clinical Neuropsychologist | 450 E 96th St Ste 500, Indianapolis, IN 46240-3760 | 2020-07-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on TYLER E OWENS.
| 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.