Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104970672 Deactivated / Inactive NPI Male Practitioner

Robert J Oconnor , LCSW

Psychologist • Holbrook, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Oconnor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2007
NPI Deactivation Date April 23, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Robert Oconnor, LCSW was a registered Psychologist practicing in Holbrook, NY. Throughout an active medical career spanning 19 years, Robert Oconnor provided care at the practice location at 800 BROADWAY AVE until profile deactivation on 2026-04-23.

Practice Location & Contact Primary Location

Practice Address

800 Broadway Ave

Holbrook, NY 117414917

Telephone 6315677689
Associated Practice Facility / Clinic
🏢 Southside Neonatal Care Pc Facility NPI 1841095627

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Holbrook, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Holbrook, NY (5379 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NY PR012412 1

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Yelena Melman

Pediatrics

NPI 1144383696
Dr. Michael Boruchov , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1184724379

Doctor of Dental Surgery

NPI 1376606814

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 23, 2026

Record deactivated on April 23, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 800 BROADWAY AVE, HOLBROOK, NY 117414917 (Tel: 6315677689)

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Updated Business Mailing Address July 08, 2007

Registered at 800 BROADWAY AVE, HOLBROOK, NY 117414917 (Tel: 6315677689)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT OCONNOR, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PR012412 1 in NY)

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Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104970672
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: July 08, 2007
Deactivation Date: April 23, 2026

Mailing Address

800 Broadway Ave

Holbrook, NY 117414917

Phone: 6315677689

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.