Active NPI
Kathryn Mary O'Brien, PSY.D.
- Clinical Psychologist
- Annapolis, MD
National Provider Identifier
1083289938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 07080
- Practice address
- 166 Defense Hwy
Annapolis, MD 21401-8919 - Phone
- (410) 684-3806
- NPI assigned
- May 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 07080 | MD | Primary |
Addresses
Primary practice location
166 Defense Hwy
Annapolis, MD 21401-8919
Mailing address
3400 Saratoga Ave
Annapolis, MD 21403-4929
Phone (443) 994-7427
Other practice location 1
3400 Saratoga Ave
Annapolis, MD 21403-4929
Phone (443) 994-7427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
166 Defense Hwy
Suite 203
Annapolis, MD 21401-8922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- waypointwellnesscenter.kathrynobrien@150898.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1083289938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SARATOGA AVE",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214034929",
"telephone_number": "443-994-7427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 DEFENSE HWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214018919",
"telephone_number": "410-684-3806"
}
],
"practiceLocations": [
{
"address_1": "3400 Saratoga Ave",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214034929",
"country_code": "US",
"telephone_number": "443-994-7427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BRIEN",
"first_name": "KATHRYN",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-24",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "07080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
- Terry Lee Nunley, MSN
- Lawrence A Nurin, DDS
- Chinweoke Ogomegbunam Nwachukwu, M.D.
- O'Brien Family Chiropractic Center
- Jennifer Diane O'Brien, RN, BSN
- Maureen L O'Brien, PA
- Michaela O'Brien
- Kathryn Anne O'Connell (Jordan), M.D.
- Chelsea Ray O'Connell, NURSE PRACTITIONER
- Christine Frances O'Connor, MA CCC SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.