Individual provider Active NPI

Sean Hyde O'Brien, PSY.D., ABPDN

  • Clinical Neuropsychologist
  • Cambridge, MA
National Provider Identifier
1013286897
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
8801 Issued in MA
Practice address
2464 Massachusetts Ave
Suite 129
Cambridge, MA 02140-1646
Phone
(617) 354-5050
NPI assigned
Dec 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 8801 MA Primary

Addresses

Primary practice location

2464 Massachusetts Ave
Suite 129
Cambridge, MA 02140-1646

Mailing address

2464 Massachusetts Ave
Suite 129
Cambridge, MA 02140-1646
Phone (617) 354-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8801MAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Center for Neuropsychology and Learning Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1013286897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 MASSACHUSETTS AVE",
            "address_2": "SUITE 129",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401646",
            "telephone_number": "617-354-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 MASSACHUSETTS AVE",
            "address_2": "SUITE 129",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021401646",
            "telephone_number": "617-354-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SEAN",
        "middle_name": "HYDE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., ABPDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "8801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.