TIMOTHY O'CONNOR, L.C.S.W., P.A. (NPI# 1821436130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821436130 |
| Entity Type | Organization |
| Organization Name | TIMOTHY O'CONNOR, L.C.S.W., P.A. |
| Practice Address |
1919 Ne 45th St Ste 122 Fort Lauderdale FL 33308-5135 |
| Practice Telephone | 9547767176 |
| Practice Fax Number | 9547767160 |
| Mailing Telephone | 9547767176 |
| Mailing Fax Number | 9547767160 |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2013-06-08 |
| Authorized Official Name | TIMOTHY JOSEPH O'CONNOR (PRESIDENT) |
| Authorized Official Telephone | 9547767176 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
SW5622 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 7638663 | 05 |
| Street Address |
1919 NE 45TH ST STE 122 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-5135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609042613 | Richard L Travis, Inc | Counselor | 1919 Ne 45th St Ste 122, Fort Lauderdale, FL 33308-5135 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241933 | Fresh Solutions Wellness Services & Consulting, LLC | Clinic/Center | 1451 W Cypress Creek Rd, Fort Lauderdale, FL 33309-1961 | 2020-10-07 |
| 1093344947 | Total Mental Wellness | Clinic/Center | 500 E Broward Blvd # 1701, Fort Lauderdale, FL 33394-3000 | 2020-04-03 |
| 1851854434 | Trustworthey Counseling Inc. | Clinic/Center | 5225 Nw 33rd Ave, Fort Lauderdale, FL 33309-6302 | 2019-04-10 |
| 1629530480 | Enlightened Mind Counseling LLC | Clinic/Center | 3038 N Federal Hwy Uppr F2, Fort Lauderdale, FL 33306-1436 | 2019-04-02 |
| 1508327628 | A & B Counseling Services LLC | Clinic/Center | 3356 Laurel Oak St, Fort Lauderdale, FL 33312-6396 | 2019-03-29 |
| 1831655406 | Living Well Management, Inc | Clinic/Center | 3601 W Commercial Blvd, Fort Lauderdale, FL 33309-3300 | 2019-02-19 |
| 1336486455 | Destination Hope, Inc. | Clinic/Center | 6555 Nw 9th Ave, Suite 111, Fort Lauderdale, FL 33309-2067 | 2013-01-09 |
| 1811192214 | Destination Hope | Clinic/Center | 6460 Nw 5th Way, Suites 6458, 6456, 6454, Fort Lauderdale, FL 33309-6112 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646654 | Movimentum Psychology | Clinic/Center | 1317 Edgewater Dr Unit 902, Orlando, FL 32804-6350 | 2020-10-09 |
| 1619584802 | U Matter Behavior Therapy LLC | Clinic/Center | 12360 Sw 132nd Ct Ste 108b, Miami, FL 33186-6461 | 2020-09-30 |
| 1508472648 | Illume Counseling & Play Therapy | Clinic/Center | 35008 Emerald Coast Pkwy Ste 203, Destin, FL 32541-4752 | 2020-09-22 |
| 1285240960 | Telepsych LLC | Clinic/Center | 15 Paradise Plz Ste 270, Sarasota, FL 34239-6905 | 2020-09-18 |
| 1790398030 | Olympic Behavioral Health LLC. | Clinic/Center | 3200 S Congress Ave Ste 101, Boynton Beach, FL 33426-9041 | 2020-08-26 |
| 1184237737 | Adel's Hope LLC | Clinic/Center | 160 Island Beach Blvd, Merritt Is, FL 32952-5016 | 2020-08-24 |
| 1790397479 | Eloy Franco Md LLC | Clinic/Center | 7320 E Fletcher Ave Ste 108, Tampa, FL 33637-0916 | 2020-08-23 |
| 1710597208 | Challenges Conquered Counseling and Consulting, LLC | Clinic/Center | 242 Commercial Blvd Ste C, Lauderdale By The Sea, FL 33308-4496 | 2020-08-09 |
| 1134738990 | Trauma and Transition Services LLC | Clinic/Center | 360 Central Ave Ste 800, St Petersburg, FL 33701-3984 | 2020-07-28 |
| 1629687520 | Frontline Recovery Center, Inc | Clinic/Center | 6503 Sw 19th St, North Lauderdale, FL 33068-4808 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.