Individual provider Active NPI

Adam Oneil, PHD

  • Clinical Psychologist
  • Boulder, CO
National Provider Identifier
1548932106
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5457 Issued in CO
Practice address
2500 30TH St Ste 206
Boulder, CO 80301-1258
Phone
(310) 945-8133
NPI assigned
Oct 1, 2021
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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 5457 CO Primary
Exercise & Sports Psychologist 103TE1100X 462 NU

Addresses

Primary practice location

2500 30TH St Ste 206
Boulder, CO 80301-1258

Mailing address

2500 30TH St Ste 206
Boulder, CO 80301-1258
Phone (310) 945-8133

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5457COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Psychology CurrentSince Oct 1, 2021 Accepting new patients

Locations

2500 30th St
Ste 206
Boulder, CO 80301
Phone (303) 895-9438

2460 S Vine St
Denver, CO 80210
Phone (303) 871-3626

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1548932106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 30TH ST STE 206",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011258",
            "telephone_number": "310-945-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 30TH ST STE 206",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011258",
            "telephone_number": "310-945-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEIL",
        "first_name": "ADAM",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "5457",
            "primary": true
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "NU",
            "license": "462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.