Active NPI
Natasha O'Connor, PH,D.
- Clinical Psychologist
- Saint James, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023028
- Practice address
- 2 Glenrich Dr
Saint James, NY 11780-1611 - Phone
- (917) 743-2071
- NPI assigned
- Jul 3, 2007
- Last updated
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023028 | NY | Primary |
| Behavior Analyst | 103K00000X | 001206 | NY |
Addresses
Primary practice location
2 Glenrich Dr
Saint James, NY 11780-1611
Mailing address
2 Glenrich Dr
Saint James, NY 11780-1611
Phone (917) 743-2071
Other names 1
- Natasha Somwar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1110 S Ave
Suite 404
Staten Island, NY 10314-3411
Phone (800) 277-4680
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023028 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Psychological Services, PLLC | Clinical | Current | Accepting new patients |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Locations
1110 South Ave
Ste 404
Staten Island, NY 10314
Phone (718) 663-4151
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Staten Island, NY
- NPI 1750154829
-
dba Integrity Senior Services
- Mental Health Counselor
- Staten Island, NY
- NPI 1972715456
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1871791707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GLENRICH DR",
"city": "SAINT JAMES",
"state": "NY",
"postal_code": "117801611",
"telephone_number": "917-743-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GLENRICH DR",
"city": "SAINT JAMES",
"state": "NY",
"postal_code": "117801611",
"telephone_number": "917-743-2071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "NATASHA",
"name_prefix": "Dr.",
"credential": "PH,D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023028",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "001206",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATASHA",
"last_name": "SOMWAR",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint James, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.