National Provider Identifier
Jack Dorsey O'Connor, MS, PMHNP
Jack Dorsey O'Connor, MS, PMHNP is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 368-6900.
Profile Overview
- NPI
- 1962016071
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- September 04, 2020
- Last Updated
- November 01, 2024
Practice Location
- 81 Lake Ave
- Rochester, NY 14608-1410
Phone: (585) 368-6900
Specialties
- Mental Health Counselor (101YM0800X)
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1962016071
- Entity Type
- Individual
- Last Name
- O'Connor
- First Name
- Jack
- Middle Name
- Dorsey
- Credential
- MS, PMHNP
- Mailing Street Address
- 81 Lake Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14608-1410
- Mailing Country
- US
- Mailing Phone
- (585) 368-6900
- Mailing Fax
- (585) 368-6996
- Practice Street Address
- 81 Lake Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-1410
- Practice Country
- US
- Practice Phone
- (585) 368-6900
- Practice Fax
- (585) 368-6996
- Enumeration Date
- September 04, 2020
- Last Updated
- November 01, 2024
- Sex
- X
- Sole Proprietor
- No
- Certification Date
- November 01, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Psychiatric/Mental Health Nurse Practitioner (363LP0808X)