Individual provider Active NPI

Catherine S O'Connell, PHD

  • Clinical Neuropsychologist
  • Phoenix, AZ
National Provider Identifier
1316084817
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
830 Issued in AZ
Practice address
3550N Central Ave 1407
Phoenix, AZ 85012-2112
Phone
(602) 216-6900
Fax
(602) 371-9889
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 830 AZ Primary
Psychologist 103T00000X 830 AZ
Addiction (Substance Use Disorder) Psychologist 103TA0400X 830 AZ
Cognitive & Behavioral Psychologist 103TB0200X 830 AZ
Clinical Psychologist 103TC0700X 830 AZ
Forensic Psychologist 103TF0200X 830 AZ
Health Service Psychologist 103TH0100X 830 AZ
Rehabilitation Psychologist 103TR0400X 830 AZ

Addresses

Primary practice location

3550N Central Ave 1407
Phoenix, AZ 85012-2112

Mailing address

3550N Central Ave 1407
Phoenix, AZ 85012-2112
Phone (602) 216-6900

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
830AZMDOptometrist
0830AZMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Arthrocare Arthritis Care and Research, P.C. Past Accepting new patients
Desert Vista Neuropsychological Specialists, PLLC Clinical Neuropsychologist PastSince Aug 1, 2014 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1316084817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550N CENTRAL AVE 1407",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122112",
            "telephone_number": "602-216-6900",
            "fax_number": "602-371-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550N CENTRAL AVE 1407",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122112",
            "telephone_number": "602-216-6900",
            "fax_number": "602-371-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "CATHERINE",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "830",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "830",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "830",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AZ",
            "license": "830",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "830",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "AZ",
            "license": "830",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "AZ",
            "license": "830",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "AZ",
            "license": "830",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.