DR. PATRICIA O'CONNELL (PH.D.) – Clinical Neuropsychologist, NPI 1821037953

DR. PATRICIA O'CONNELL (PH.D.) is a healthcare provider. based in Decatur, Georgia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 2771 (GA). The NPI Number for DR. PATRICIA O'CONNELL (PH.D.) is 1821037953

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICIA O'CONNELL (PH.D.)
NPI
1821037953
Phone
(678) 984-4619
Address
2440 LAWRENCEVILLE HWY
Enumeration Date
5 June 2006
Last Update Date
10 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6785950062
Graduation Year
1998 (28 years ago)
PAC ID
9931105145
Group Practice PAC ID
7810904679
Professional Enrollment ID
I20061011000522
Address ID
GA300303412DE235XXAVEX683
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

483 CLINICAL PSYCHOLOGIST in GA

Provider Addresses for DR. PATRICIA O'CONNELL (PH.D.)

  • 2440 LAWRENCEVILLE HWY

    SUITE 200

    DECATUR, GA 300333266

    Phone: (678) 984-4619

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061011000522IClinical PsychologistGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810904679View full group profile
NameSpecialtyState
Clinical PsychologistGA

Reviews

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Frequently asked questions

How is DR. PATRICIA O'CONNELL (PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. PATRICIA O'CONNELL (PH.D.) with NPI 1821037953.
Is DR. PATRICIA O'CONNELL (PH.D.) listed as active for patients and plans?
The listing shows DR. PATRICIA O'CONNELL (PH.D.) as active in the NPI system.
What taxonomy line describes DR. PATRICIA O'CONNELL (PH.D.)?
For research purposes, treat DR. PATRICIA O'CONNELL (PH.D.) as Clinical Neuropsychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. PATRICIA O'CONNELL (PH.D.) on a map?
Expect Decatur, Georgia as a primary anchor for DR. PATRICIA O'CONNELL (PH.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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