MR. MATTHEW SHANE OWENS M.A. NPI 1497883979

NPI Information

  • NPI: 1497883979
  • Provider Name: MR. MATTHEW SHANE OWENS, M.A.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Individual
  • Address: 420 W 5TH AVE
    FLINT, MI
    ZIP 48503
  • Phone: (248) 678-4749

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NPI Details

MR. Matthew Shane Owens, M.A. is a community behavioral health in Flint, MI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MR. Matthew Shane Owens, M.A. NPI is 1497883979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 W 5TH AVE
FLINT, MI
ZIP 48503-445
Phone: (248) 678-4749

The enumeration date for this NPI number is 2/28/2007 and was last updated on 9/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical6361005054MICHIGANNo
2251S00000XCommunity/Behavioral Health6301011431MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1386004868OTHERMICHIGANFEDERAL TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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