Individual provider Active NPI

Carey A O'Neill, PSY.D

  • Clinical Psychologist
  • Cheshire, CT
National Provider Identifier
1629184494
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002711 Issued in CT
Practice address
4 Pine Brook CT
Cheshire, CT 06410-3746
Phone
(203) 699-9770
Fax
(203) 699-9770
NPI assigned
Aug 22, 2006
Last updated
Mar 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 002711 CT Primary

Addresses

Primary practice location

4 Pine Brook CT
Cheshire, CT 06410-3746

Mailing address

4 Pine Brook CT
Cheshire, CT 06410-3746
Phone (203) 699-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000442 CT Practitioner - Clinical Psychologist 5597762401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002711CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Carey a. Oneill, LLC Clinical CurrentSince May 24, 2023 Accepting new patients
Comprehensive Neuropsychological Services, P.C. Clinical PastSince Feb 23, 1990 Accepting new patients

Locations

51 N Main St
Ste 3D
Southington, CT 06489
Phone (860) 621-1461

Organizations & group practices 2

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1629184494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PINE BROOK CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103746",
            "telephone_number": "203-699-9770",
            "fax_number": "203-699-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PINE BROOK CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103746",
            "telephone_number": "203-699-9770",
            "fax_number": "203-699-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "CAREY",
        "middle_name": "A",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.