Individual provider Active NPI

Margaret M. O'Connor, ED.D.

  • Clinical Psychologist
  • Sedona, AZ
National Provider Identifier
1487766531
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4449 Issued in AZ
Practice address
70 N Payne PL
Suite 3
Sedona, AZ 86336-4536
Phone
(928) 554-5443
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 530 AK
Clinical Psychologist 103TC0700X 4449 AZ Primary

Addresses

Primary practice location

70 N Payne PL
Suite 3
Sedona, AZ 86336-4536

Mailing address

2140 Sanborn Dr
Sedona, AZ 86336-3209
Phone (928) 554-5448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061103000414 TX Practitioner - Clinical Psychologist 2466459417 Reassigns benefits to 1 organization
I20171002003292 AZ Practitioner - Clinical Psychologist 2466459417 Reassigns benefits to 1 organization
Practice locations: Sedona, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

70 N Payne PL
Suite 3
Sedona, AZ 86336-4536
Phone (505) 409-7738

Merit-based Incentive Payment System (MIPS)

Final score
77.59 of 100Reported as group
Quality
47.51
Promoting interoperability
69
Improvement activities
40
Cost
86.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
530AKMDProfessional Counselor
4449AZMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuba City Regional Health Care Corporation CurrentSince Jul 19, 2010 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Jul 19, 2010 Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1487766531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 SANBORN DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863363209",
            "telephone_number": "928-554-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N PAYNE PL",
            "address_2": "SUITE 3",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364536",
            "telephone_number": "928-554-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "MARGARET",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "530",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

Verify at the official NPI Registry.