Active NPI
John O'Connor, Psy.D., LLC.
- Psychologist
- New Egypt, NJ
National Provider Identifier
1073735502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00437800
- Legal business name
- JOHN O'CONNOR, PSY.D., LLC.
- Practice address
- 54 Main St
New Egypt, NJ 08533-1413 - Phone
- (609) 758-1237
- Fax
- (609) 758-7255
- NPI assigned
- May 3, 2007
- Last updated
- Aug 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John James Oconnor, PSY.D.
- Title
- Member
- Phone
- (609) 758-1237
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00437800 | NJ | Primary |
Addresses
Primary practice location
54 Main St
New Egypt, NJ 08533-1413
Mailing address
PO Box 236
New Egypt, NJ 08533-0236
Phone (609) 758-1237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
33 Main St
New Egypt, NJ 08533
Phone (609) 758-1237
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- New Egypt, NJ
- NPI 1285742668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1073735502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 236",
"city": "NEW EGYPT",
"state": "NJ",
"postal_code": "085330236",
"telephone_number": "609-758-1237",
"fax_number": "609-758-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MAIN ST",
"city": "NEW EGYPT",
"state": "NJ",
"postal_code": "085331413",
"telephone_number": "609-758-1237",
"fax_number": "609-758-7255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN O'CONNOR, PSY.D., LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "OCONNOR",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "609-758-1237",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00437800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Egypt, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.