AUDREY LEE O'CONNOR PHD
NPI 1235795741
Psychologist - Clinical in Boston, MA

Q: What is Audrey O'connor's NPI number?

The NPI number for Audrey O'connor is 1235795741. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Q: What is Audrey O'connor's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Audrey O'connor was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2019PECOS Enrolled

300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 4, 2022, Aug 1, 2022, May 10, 2019 (3 updates tracked since 2019).

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About Audrey Lee O'connor Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY LEE O'CONNOR PHD (NPI 1235795741) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (11959) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235795741

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameAUDREY LEE O'CONNORCredential: PHD

Location Address300 LONGWOOD AVEBoston, MA 02115-5724

Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000

Phone(617) 355-6000

Sole ProprietorNo

Enumeration DateMay 10, 2019

Last NPPES UpdateNovember 4, 20223 updates tracked since enumeration

NPPES CertifiedNovember 4, 2022

✔ NPI 1235795741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 11959

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

300 LONGWOOD AVE, Boston, MA 02115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Lee O'connor Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Audrey O'connor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Pediatric Associates, Inc

Same address

Pediatrics

300 LONGWOOD AVE
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
1,358 clinicians in this Medicare group

NPI 1457306664 (617) 355-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$189.86 typical visit price

range $63.72 – $189.86

Typical copayment $47.46 (range $15.93 – $47.46)

Most-billed visit code 99205

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN HANSEN LCSW

Social Worker (Clinical)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (857) 218-4309

MS. ANNA ROGLIERI

Nurse Practitioner (Psychiatric/Mental Health)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

STEPHEN G. FLYNN M.D.

Anesthesiology (Pediatric Anesthesiology)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

MRS. LAUREN ASHLEY SHARIS P.T., D.P.T

Physical Therapist

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-7216

MS. SOYUN KWAN LICSW

Social Worker (Clinical)

300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115

Suffolk County (617) 355-0567

PUJA BANKA M.D.

Pediatrics

300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115

Suffolk County (617) 355-6363

MR. COURTNEY SULLIVAN FRATTO CPNP

Nurse Practitioner (Pediatrics)

300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115

Suffolk County (857) 218-4085

DR. ELIZABETH S TAGLAUER M.D., PH.D.

Pediatrics (Neonatal-Perinatal Medicine)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey O'connor's NPI number?

The NPI number for Audrey O'connor is 1235795741. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Audrey O'connor located?

Audrey O'connor practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Audrey O'connor's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Audrey O'connor enrolled in Medicare?

Yes. Audrey O'connor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Audrey O'connor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey O'connor reassigns Medicare benefits to Children's Hospital Pediatric Associates, Inc (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audrey O'connor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audrey O'connor accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Audrey O'connor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Audrey O'connor was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.