Michael Francis O'Connell, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

452 Issued in OR

Practice address

728 Cardley Ave
Medford, OR 97504-6124

Phone

(541) 773-4077

Fax

(541) 773-3621

NPI assigned

Feb 3, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael F Oconnell PHD

  • Clinical Psychologist
  • Medford, OR
  • NPI 1902940133
  NPD (past) Authorized official
• Providence Health & Services - Oregon

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1689755670
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1013055623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 CARDLEY AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046124",
            "telephone_number": "541-773-4077",
            "fax_number": "541-773-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 CARDLEY AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046124",
            "telephone_number": "541-773-4077",
            "fax_number": "541-773-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Claire Nyone, OD
• Candace Nysted, PA-C
• Leesa D Nystrom, PT
• Farrah Lynne O'Brien
• Anne Regina O'Connell, MD
• Bridget O'Connor
• Nikolas D O'Hara
• Natalie O'Mara, LMFT
• Megan Lee O'Melia
• Nancy Carolyn O'Neal, M.D.

• Psychologist in Medford, OR
• Providers in Medford, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.