Patrick Gilbert O'Donnell, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-108929 Issued in IL

Practice address

1945 S Spring St
Springfield, IL 62704-3943

Phone

(217) 492-2000

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Patrick Gary O'Donnell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Balanced Care Mental Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, IL
  • NPI 1164661971
  NPD (past) Authorized official
• Killian and Associates SC

  • Psychiatry Physician
  • Springfield, IL
  • NPI 1487642708
  NPD (past)
• Unified Therapeutics LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1154590305
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1336137330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 S SPRING ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043943",
            "telephone_number": "217-492-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 S SPRING ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043943",
            "telephone_number": "217-492-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "PATRICK",
        "middle_name": "GILBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036108929",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036-108929",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-108929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108929",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICK",
            "last_name": "O'DONNELL",
            "middle_name": "GARY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanne F O'Brien, FNP-BC
• Patrick O'Brien, CRNA
• Mary Lynn O'Connor
• William O'Connor, PT
• Brookann O'Dell
• Tonya O'Donnell
• Rhonda L O'Donoghue, RNFA
• Daniel Sullivan O'Keefe, M.D.
• Madelyn Elizabeth O'Malley
• Sean O'Malley

• Psychiatry Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.