Individual provider Active NPI

Peter Richard Oconnor, PSY.D.

  • Clinical Psychologist
  • Acton, MA
National Provider Identifier
1184603334
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3742 Issued in MA
Practice address
18 Silver Hill Rd
Acton, MA 01720-4228
Phone
(781) 646-2670
Fax
(781) 646-2670
NPI assigned
Jan 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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 3742 MA Primary

Addresses

Primary practice location

18 Silver Hill Rd
Acton, MA 01720-4228

Mailing address

18 Silver Hill Rd
Acton, MA 01720-4228
Phone (781) 646-2670

Other practice location 1

226 Massachusetts Ave Ste 3
Arlington, MA 02474-8449
Phone (781) 646-2670

Other identifiers 2

IdentifierTypeStateIssuer
0515751MedicaidMA
1184603334OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20041122000606 MA Practitioner - Clinical Psychologist 5890750657 Practice locations: Acton, MA; Arlington, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

226 Massachusetts Ave
Suite 3
Arlington, MA 02474-8449
Phone (781) 646-2670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1184603334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SILVER HILL RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204228",
            "telephone_number": "781-646-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SILVER HILL RD",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017204228",
            "telephone_number": "781-646-2670",
            "fax_number": "781-646-2670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Massachusetts Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "MA",
            "postal_code": "024748449",
            "country_code": "US",
            "telephone_number": "781-646-2670",
            "fax_number": "781-646-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "PETER",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515751",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184603334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.