DR. SHANE GREGORY OWENS (NPI# 1477691384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477691384 |
| Entity Type | Individual |
| Full Name | DR. SHANE GREGORY OWENS |
| Credential | PH.D. |
| Practice Address |
283 Commack Rd Suite Ll 2 Commack NY 11725-6021 |
| Practice Telephone | 6314625554 |
| Practice Fax Number | 6314202089 |
| Mailing Telephone | 6314625554 |
| Mailing Fax Number | 6314202089 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 015938 | NY | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
015938 | NY | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
015938 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PHCS PID | 9383228 | 01 |
| NY | VMC BEHAVIORAL HEALTHCARE | 028279 | 01 |
| NY | NSLIJ EMPIRE BCBS | VM5471 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366996852 | Shane V Owens | Physical Therapist | 711 W 38th St, Building B3, Austin, TX 78705-1121 | 2016-08-12 |
| Street Address |
283 COMMACK RD SUITE LL 2 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095993 | Irene C Yarusso | Nurse Practitioner | 283 Commack Rd, Commack, NY 11725-6021 | 2005-07-05 |
| 1861033763 | Christine Marren | Nurse Practitioner | 283 Commack Rd, Commack, NY 11725-6021 | 2019-10-01 |
| 1568903193 | Long Island Cognitive Behavioral Psychology | Psychologist | 283 Commack Rd, Suite Ll1, Commack, NY 11725-6021 | 2017-03-15 |
| 1336501097 | Irene Milonas | Psychologist | 283 Commack Rd, Suite Ll1, Commack, NY 11725-6021 | 2016-03-22 |
| 1700279239 | Commack Dental Design Pllc | Dentist | 283 Commack Rd, Suite 120, Commack, NY 11725-6021 | 2015-03-09 |
| 1578991550 | Lauren Miceli | Social Worker | 283 Commack Rd, Lower Level 1, Commack, NY 11725-6021 | 2013-10-29 |
| 1144667528 | Melissa Macko | Social Worker | 283 Commack Rd, Suite 100, Commack, NY 11725-6021 | 2013-05-26 |
| 1386980043 | Cristina Monaco | Physician Assistant | 283 Commack Rd, Suite 115, Commack, NY 11725-6021 | 2012-12-27 |
| 1689918146 | Brian Goldberg | Psychologist | 283 Commack Rd, Suite 205, Commack, NY 11725-6021 | 2012-11-21 |
| 1265787139 | Robert Goldman | Psychologist | 283 Commack Rd, Commack, NY 11725-6021 | 2012-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629589817 | Danielle Zito | Psychologist | 358 Veterans Memorial Hwy Ste 12, Commack, NY 11725-4326 | 2017-10-16 |
| 1215363007 | Michael D. Sherer | Psychologist | 25a Shinbone Ln, Commack, NY 11725-5510 | 2013-09-24 |
| 1871832972 | Adria M Gerber | Psychologist | 340 Veterans Memorial Hwy Ste 12, Commack, NY 11725-4300 | 2013-02-08 |
| 1508134321 | Xue Jie Ma | Psychologist | 9 Wicks Drive, Commack, NY 11725 | 2011-12-07 |
| 1831429927 | Caren L. Newman | Psychologist | 35 Crooked Hill Rd., Ste. 203, Commack, NY 11725-5415 | 2010-01-12 |
| 1619161338 | Roseangela Cannizzzaro Lemma | Psychologist | 53 Wheatfield Ln, Commack, NY 11725-2632 | 2007-09-06 |
| 1093909061 | Turning Points Cfs, Inc. | Psychologist | 283 Commack Rd Ste 210, Commack, NY 11725-3400 | 2007-08-31 |
| 1114128071 | Naomi Berenson Mann | Psychologist | 354 Veterans Memorial Hwy, Commack, NY 11725-4331 | 2007-05-29 |
| 1508088667 | Cheryl S. Chitayat | Psychologist | 358 Veterans Memorial Hwy., Suite 12, Commack, NY 11725-4332 | 2007-05-02 |
| 1730225020 | Andrew Leigh Berger | Psychologist | 283 Commack Rd., Suite Ll2, Commack, NY 11725-6021 | 2007-01-30 |
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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.