Active NPI
Wendy O'Connor, PSY.D.
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1265765911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS01145
- Practice address
- 1 Champney PL
Apt. 3
Boston, MA 02114-3604 - Phone
- (619) 405-0652
- NPI assigned
- Sep 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS01145 | RI | Primary |
Addresses
Primary practice location
1 Champney PL
Apt. 3
Boston, MA 02114-3604
Mailing address
1 Champney Place
Apt. 3
Boston, MA 02114
Phone (619) 405-0652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1265765911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHAMPNEY PLACE",
"address_2": "APT. 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "619-405-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHAMPNEY PL",
"address_2": "APT. 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143604",
"telephone_number": "619-405-0652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "WENDY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-14",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS01145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.