Andrew Louis Oconnor, PH.D.
Individual provider Active NPI Psychologist · Key West, FL
NPI 1467543652 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467543652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PY0002482 (FL)
- Practice address
- 3706 N Roosevelt Blvd
Suite B
Key West, FL 33040-4566 - Phone
- (305) 294-1277
- Fax
- (305) 294-8927
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0002482 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tim Kelly, LCSW, Psychotherapist, PA | Past | Accepting new patients | |
| A. Louis O'Connor PH.D. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY0002482 | FL | Yes |
Addresses
Primary practice location
3706 N Roosevelt Blvd
Suite B
Key West, FL 33040-4566
Mailing address
3706 N Roosevelt Blvd
Suite B
Key West, FL 33040-4566
Phone (305) 294-1277
Other names
- Dr. Andrew Louis Oconnor
Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.