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Contact Information

SHANE G OWENS, PhD
283 COMMACK RD
SUITE LL 2
COMMACK, NY11725-6021
 Phone: 631-462-5554
 Fax: 631-420-2089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SHANE G OWENS · (Male)

NPI Number 1477691384
Status Active
Credentials PhD
Entity Individual
Enumeration date 02/02/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 015938
  • NY Other VM5471 NSLIJ EMPIRE BCBS
  • NY Other 9383228 PHCS PID
  • NY Other 028279 VMC BEHAVIORAL HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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