Individual provider Active NPI

Erin G O'Connor, PHD, LP

  • Clinical Psychologist
  • Flint, MI
National Provider Identifier
1073746095
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013999 Issued in MI
Practice address
G3230 Beecher Rd
Suite 1
Flint, MI 48532-3604
Phone
(810) 342-5656
Fax
(810) 342-5600
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301013999 MI Primary

Addresses

Primary practice location

G3230 Beecher Rd
Suite 1
Flint, MI 48532-3604

Mailing address

5173 Pine Lake Forest CT
Linden, MI 48451-9020
Phone (248) 494-1016

Other names 1

  • Erin G Sheppard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000754 MI Practitioner - Clinical Psychologist 3779739818 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

G3230 Beecher Rd
Suite 2
Flint, MI 48532-3604
Phone (810) 342-5800

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301013999MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc CurrentSince Nov 19, 2013 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
Covenant Medical Center, Inc. CurrentSince Nov 19, 2013 Accepting new patients
McLaren Flint CurrentSince Jul 23, 2014 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Aug 1, 2012 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Saginaw Cooperative Hospitals, Inc CurrentSince Aug 1, 2012 Accepting new patients
McLaren Flint Clinical CurrentSince Jul 23, 2014 Accepting new patients

Locations

G3230 Beecher Rd
Ste 2
Flint, MI 48532
Phone (810) 342-5800

G3230 Beecher Rd
Ste 1
Flint, MI 48532
Phone (810) 342-5620

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1073746095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5173 PINE LAKE FOREST CT",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519020",
            "telephone_number": "248-494-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3230 BEECHER RD",
            "address_2": "SUITE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323604",
            "telephone_number": "810-342-5656",
            "fax_number": "810-342-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "ERIN",
        "middle_name": "G",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "SHEPPARD",
            "middle_name": "G",
            "credential": "PHD, LP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.