Michael F Oconnell PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

452 Issued in OR

Legal business name

MICHAEL F OCONNELL PHD

Practice address

728 Cardley Ave
Medford, OR 97504-6124

Phone

(541) 773-4077

Fax

(541) 773-3621

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Francis O'Connell, PH. D.NPI 1013055623

Title

President

Phone

(541) 773-4077

Specialties & licenses 1

Addresses

Other names 1

• Rogue Valley Psychological Associates Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Francis O'Connell, PH.D.

  • Psychologist
  • Medford, OR
  • NPI 1013055623
  NPD (past) Authorized official
• Victor Klodin, PH.D.

  • Clinical Psychologist
  • Medford, OR
  • NPI 1982732392
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1902940133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 CARDLEY AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046124",
            "telephone_number": "541-773-4077",
            "fax_number": "541-773-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 CARDLEY AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046124",
            "telephone_number": "541-773-4077",
            "fax_number": "541-773-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL F OCONNELL PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-773-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogue Valley Psychological Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elena Carrie Meyer, MS, LPC, NCC
• Joshua Daniel Meyer, RN
• Meyerding Surgical Associates Inc
• Eugene V Meyerding Jr., DMD
• Jennifer Miatke, MA, LPC, MDIV, CADCI
• Michael Rulon, M.D., L.L.C.
• Philip Fred Michael, M.D.
• Denna Margaret Michail, PSS
• Aimee K Michel
• Lisa Joy Michelbrink, MD

• Clinical Psychologist in Medford, OR
• Providers in Medford, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.