Organization Active NPI

Maurice Patrick O'Connor

  • Clinical Psychologist
  • Tacoma, WA
National Provider Identifier
1790089001
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60114577 Issued in WA
Legal business name
MAURICE PATRICK O'CONNOR
Practice address
321 E 25TH St
Tacoma, WA 98421-1300
Phone
(253) 228-9900
Fax
(253) 274-0038
NPI assigned
Dec 29, 2010
Last updated
Dec 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Authorized official

Name
Dr. Maurice Patrick O'Connor, PH.D.NPI 1144433087
Title
Clinical Psychologist
Phone
(253) 228-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY60114577 WA Primary

Addresses

Primary practice location

321 E 25TH St
Tacoma, WA 98421-1300

Mailing address

2412 N Narrows Dr
Tacoma, WA 98406-2315
Phone (253) 222-1454

National Provider Directory

National Provider Directory

Locations

321 E 25th St
Tacoma, WA 98421
Phone (253) 228-9900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1790089001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N NARROWS DR",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062315",
            "telephone_number": "253-222-1454",
            "fax_number": "253-274-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E 25TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984211300",
            "telephone_number": "253-228-9900",
            "fax_number": "253-274-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE PATRICK O'CONNOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "253-228-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60114577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.