Active NPI
Patrick T Oconnell Psy D PA
- Clinical Psychologist
- Clearwater, FL
National Provider Identifier
1225211873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY5391
- Legal business name
- PATRICK T OCONNELL PSY D PA
- Practice address
- 13575 58TH St N
Suite 119
Clearwater, FL 33760-3740 - Phone
- (727) 538-7714
- Fax
- (727) 799-0191
- NPI assigned
- Dec 5, 2007
- 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
- Patrick T Oconnell, PSY D
- Title
- Clinical Psychologist
- Phone
- (727) 538-7714
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY5391 | FL | Primary |
Addresses
Primary practice location
13575 58TH St N
Suite 119
Clearwater, FL 33760-3740
Mailing address
13575 58TH St N
Suite 119
Clearwater, FL 33760-3740
Phone (727) 538-7714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
13575 58th St N
Ste 119
Clearwater, FL 33760
Phone (727) 538-7714
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Clearwater, FL
- NPI 1770659682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199664000000",
"number": "1225211873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13575 58TH ST N",
"address_2": "SUITE 119",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603740",
"telephone_number": "727-538-7714",
"fax_number": "727-799-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13575 58TH ST N",
"address_2": "SUITE 119",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603740",
"telephone_number": "727-538-7714",
"fax_number": "727-799-0191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICK T OCONNELL PSY D PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2008-01-07",
"status": "A",
"authorized_official_last_name": "OCONNELL",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "727-538-7714",
"authorized_official_credential": "PSY D"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY5391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.