Dawn Marie O'Connor, MA, MS, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361007574 Issued in MI

Practice address

23231 Woodward Ave
Ferndale, MI 48220-1361

Phone

(248) 581-8777

Fax

(888) 975-9374

NPI assigned

Mar 13, 2013

Last updated

Feb 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dawn Marie Krull Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

Practice roles

Locations

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

• Fairsky Foundation

  • Multi-Specialty Clinic/Center
  • Ferndale, MI
  • NPI 1033595665

  Psychologist

  NPD

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1164763363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23231 WOODWARD AVE",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201361",
            "telephone_number": "248-581-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23231 WOODWARD AVE",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201361",
            "telephone_number": "248-581-8777",
            "fax_number": "888-975-9374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5505 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480982614",
            "country_code": "US",
            "telephone_number": "248-858-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "MA, MS, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007574",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "KRULL",
            "middle_name": "MARIE",
            "credential": "MA, MS, LLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Niforos
• Nine Mile RX, LLC.
• Nine Mile RX, LLC.
• Novacare Outpatient Rehabilitation East, Inc. (NovaCare Rehabilitation)
• Katherine L O'Connor-Price, LMSW
• O'Leary Psychotherapy Services LLC
• Kurtis Oaklee, MFT
• Oakridge Manor Nursing & Rehab Center LLC
• Madeline Odom
• Chtaini M Ogwuche

• Psychologist in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.