Patrick Sean O'Maille, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1172 Issued in AL

Practice address

1 Somdg- SGHQ
113 Leilmanis Ave
Hurlburt Field, FL 32544

Phone

(850) 884-8827

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1598844854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 WINDLAKE DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325784812",
            "telephone_number": "850-884-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOMDG- SGHQ",
            "address_2": "113 LEILMANIS AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "32544",
            "telephone_number": "850-884-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MAILLE",
        "first_name": "PATRICK",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dixie Mobley
• Christopher James Monroe, ATC
• Christianna L Moore, D.D.S.
• Amanda P. Morgan, PH.D.
• Cortney Leona Mullen
• Patrick Ohara, IDMT
• Ramon Oliver, IDMT
• Karl Ellis Ott, RPH
• Caleb Robert Overfelt, MD
• Erica Lea Page, LCSWI

• Clinical Psychologist in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Clinical Psychologist in Florida

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