John Joseph O'Connor, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5421-1 Issued in NY

Practice address

413 Kenwood Ave
Delmar, NY 12054-3231

Phone

(518) 439-0090

Fax

(518) 439-0267

NPI assigned

Dec 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Barbara F Pats PHD Psychologist PLLC

  • Clinical Psychologist
  • Delmar, NY
  • NPI 1497153886
  NPD (past)

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477618163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 KENWOOD AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543231",
            "telephone_number": "518-439-0090",
            "fax_number": "518-439-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 KENWOOD AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543231",
            "telephone_number": "518-439-0090",
            "fax_number": "518-439-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "5421-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "1328112",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01938247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Lee Nelson, DMD
• Lisa Joy Newman, PH.D.
• Phoebe Nguyen-Hageman, DDS
• Daniil Niyazov, MD
• Linda S Nortz, O.T.
• Shannon Lauren O'Meara, FNP
• Jane Mead O'Neill, R.PH
• Joseph V Olejak, DL
• Online Care Medicine PC
• Online Care Psychology PC

• Psychologist in Delmar, NY
• Providers in Delmar, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.