Active NPI
Patricia A O'Gorman, PH.D.
- Clinical Psychologist
- East Chatham, NY
National Provider Identifier
1962607481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 005084
- Practice address
- 92 Frisbee St
East Chatham, NY 12060-3201 - Phone
- (518) 392-3845
- Fax
- (518) 392-4521
- NPI assigned
- Jun 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 005084 | NY | Primary |
Addresses
Primary practice location
92 Frisbee St
East Chatham, NY 12060-3201
Mailing address
3316 County Route 9
East Chatham, NY 12060-1706
Phone (518) 392-3845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6894434 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962607481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 COUNTY ROUTE 9",
"city": "EAST CHATHAM",
"state": "NY",
"postal_code": "120601706",
"telephone_number": "518-392-3845",
"fax_number": "518-392-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 FRISBEE ST",
"city": "EAST CHATHAM",
"state": "NY",
"postal_code": "120603201",
"telephone_number": "518-392-3845",
"fax_number": "518-392-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GORMAN",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "005084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6894434",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Chatham, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.