Active NPI
Anne Regina O'Connell, MD
- Psychiatry Physician
- Medford, OR
National Provider Identifier
1720189848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD153707
- Practice address
- 2825 East Barnett Rd
Medford, OR 97504 - Phone
- (541) 789-7000
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD13506 | HI | |
| Psychiatry Physician | 2084P0800X | MD153707 | OR | Primary |
Addresses
Primary practice location
2825 East Barnett Rd
Medford, OR 97504
Mailing address
2620 East Barnett Rd
Suite H
Medford, OR 97504
Phone (541) 789-5250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101366 | Other | PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Chicago, Pritzker School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
250 Bon Air Rd
Greenbrae, CA 94904-1702
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13506 | HI | MD | Psychiatry Physician |
| MD153707 | OR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Marin | Current | Accepting new patients | |
| County of Marin | Current | Accepting new patients | |
| Alchemy Psychiatry | Psychiatry | Current | Accepting new patients |
| State of Hawaii Department of Health | Psychiatry | Past | Accepting new patients |
Locations
250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350
Interoperability endpoints
- anne.oconnell@jhie.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Ashland, OR
- NPI 1750216198
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Novato, CA
- NPI 1679081335
-
- Community/Behavioral Health Agency
- San Rafael, CA
- NPI 1912116252
-
- Psychiatry Physician
- Honolulu, HI
- NPI 1558223784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433808000000",
"number": "1720189848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 EAST BARNETT RD",
"address_2": "SUITE H",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-789-5250",
"fax_number": "541-789-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 EAST BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-789-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "ANNE",
"middle_name": "REGINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2015-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD13506",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD153707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "101366",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.