Organization Active NPI

Patrick Oconnell DO PLLC

  • Psychiatry Physician
  • Novi, MI
National Provider Identifier
1083474019
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PATRICK OCONNELL DO PLLC
Practice address
42450 W 12 Mile Rd Ste 315
Novi, MI 48377-3030
Phone
(248) 513-4100
Fax
(248) 513-4105
NPI assigned
Mar 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Patrick Oconnell, DONPI 1548899016
Title
Sole Member / Authorized Official
Phone
(248) 513-4100

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

42450 W 12 Mile Rd Ste 315
Novi, MI 48377-3030

Mailing address

42450 W 12 Mile Rd Ste 315
Novi, MI 48377-3030
Phone (248) 513-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240801000789 MI Part B Supplier - Clinic/Group Practice 7810434461 Receives reassigned benefits from 1 practitioner
Practice locations: Novi, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1083474019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42450 W 12 MILE RD STE 315",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773030",
            "telephone_number": "248-513-4100",
            "fax_number": "248-513-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 W 12 MILE RD STE 315",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773030",
            "telephone_number": "248-513-4100",
            "fax_number": "248-513-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK OCONNELL DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "OCONNELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "SOLE MEMBER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "248-513-4100",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.

Verify at the official NPI Registry.