Patrick Theodore O'Connell, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5391 Issued in FL

Practice address

13575 58TH St N
Suite 119
Clearwater, FL 33760-3740

Phone

(727) 538-7714

Fax

(727) 799-0191

NPI assigned

Nov 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in FL

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

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Patrick T Oconnell Psy D PA

  • Clinical Psychologist
  • Clearwater, FL
  • NPI 1225211873
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770659682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 BLUE HERON ST",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955304",
            "telephone_number": "727-712-9327",
            "fax_number": "727-799-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 58TH ST N",
            "address_2": "SUITE 119",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603740",
            "telephone_number": "727-538-7714",
            "fax_number": "727-799-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "PATRICK",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nursespring of Clearwater, LLC
• Heather Nusca, ARNP
• Catherine Nwokolo
• Olivia Anne O'Berry, PA-C
• Kelsey Jane O'Brien, M.S., CCC-SLP
• Mollie O'Connor
• Rachel Marie O'Connor
• Sarimar Gascot O'Connor
• Daniel Richard O'Donnell, PT
• Heather O'Keefe, MASTERS

• Clinical Psychologist in Clearwater, FL
• Providers in Clearwater, 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 8, 2007; 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.
• 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.

Verify at the official NPI Registry.