Individual provider Active NPI

William O'Connor, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • New York, NY
National Provider Identifier
1538343835
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
18694 Issued in NY
Practice address
2 Washington St
9TH Floor, Rina
New York, NY 10004-1008
Phone
(212) 425-2900
Fax
(212) 363-8530
NPI assigned
Dec 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 18694 NY Primary

Addresses

Primary practice location

2 Washington St
9TH Floor, Rina
New York, NY 10004-1008

Mailing address

2 Washington St
9TH Floor, Rina
New York, NY 10004-1008
Phone (212) 425-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18694NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1538343835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON ST",
            "address_2": "9TH FLOOR, RINA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041008",
            "telephone_number": "212-425-2900",
            "fax_number": "212-363-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON ST",
            "address_2": "9TH FLOOR, RINA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041008",
            "telephone_number": "212-425-2900",
            "fax_number": "212-363-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "WILLIAM",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "18694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.