Patrick George O'Malley III

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

17425 84 Ave
Tinley Park, IL 60477-2364

Phone

(708) 268-6406

NPI assigned

Jan 28, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Patrick Omalley Bcba Inc

  • Behavior Analyst
  • New Lenox, IL
  • NPI 1962362566
  NPD Authorized official

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1902044043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17425 84TH AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772364",
            "telephone_number": "708-268-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17425 84 AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772364",
            "telephone_number": "708-268-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "PATRICK",
        "middle_name": "GEORGE",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nurturing Emotional Wellness Center LLC
• John O'Brien, D.D.S.
• Mary O'Brien, OTR/L
• Daniel Paul O'Connor, D.C.
• Maribeth Therese O'Connor, OTR L
• Ashley O'Neill, BCBA
• Jillian O'Sullivan, BCBA
• Oaaa Dental PLLC
• Cynthia Oates, LSW
• Sara Oboikovitz, COTA/L

• Behavior Analyst in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.