Sara Oconnell, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003964 Issued in CT

Practice address

333 Main St
Portland, CT 06480-1561

Phone

(860) 342-0370

NPI assigned

Mar 11, 2022

Last updated

Mar 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matthew Raider MD LLC

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  • Middletown, CT
  • NPI 1093952194
  NPD (past)
• Portland Care and Rehabilitation Centre

  • Skilled Nursing Facility
  • Portland, CT
  • NPI 1003947177
  NPD (past)

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1487302105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FOUNDERS RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333608",
            "telephone_number": "860-916-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MAIN ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801561",
            "telephone_number": "860-342-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNELL",
        "first_name": "SARA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Louis Mormile, DC
• Richard Brian Morse, DDS
• Kelly Marie Mullen, PT, DPT
• Louis R Neumann, O.D.
• Matthew Nichols
• Carly M Odesina, APRN
• Jennifer Owens, LAT, ATC
• Rupesh Pandey, DDS
• Stephen P Paschall, LPC
• Vipul Anant Patel, DMD

• Speech-Language Pathologist in Portland, CT
• Providers in Portland, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.