Kelly O'Connor, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810008233 Issued in VA

Practice address

4729 Fulton St
Richmond, VA 23231-1211

Phone

(804) 728-0748

NPI assigned

Aug 24, 2023

Sex

Female

Sole proprietor

Yes

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

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1598549081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 FULTON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232311211",
            "telephone_number": "804-728-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 FULTON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232311211",
            "telephone_number": "804-728-0748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5887 Glenridge Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303289929",
            "country_code": "US",
            "telephone_number": "470-610-0414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly O'Connell
• Nan G. O'Connell, M.D.
• Alicia Annie O'Connor, NP
• Heather Marie O'Connor, MD
• James P. O'Connor, MD
• Louise H O'Connor, LPC
• Patricia W O'Connor, M.D.
• Carly Megan O'Donnell, MD
• Kaitlyn O'Donnell, LCSW
• Maureen Frances O'Donnell, RN

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.