Kelly O'Brien, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

04860 Issued in MD

Practice address

7910 Woodmont Ave Ste 1101
Bethesda, MD 20814-7059

Phone

(301) 785-5097

NPI assigned

Aug 28, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 3, 2014 through Sep 3, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Alvord Baker & Associates LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Rockville, MD
  • NPI 1316090673
  NPD (past)
• Eleanor Ford MD PA

  • Medical Specialty Clinic/Center
  • Silver Spring, MD
  • NPI 1306177316
  NPD (past)

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1124334073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 WOODMONT AVE STE 1101",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208147059",
            "telephone_number": "301-785-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 WOODMONT AVE STE 1101",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208147059",
            "telephone_number": "301-785-5097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Connecticut Ave Ste 1120",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208155846",
            "country_code": "US",
            "telephone_number": "301-593-6554 x41",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-28",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jankowski Nysenbaum, PHD
• O & O Alpan, LLC
• Paul O Brien, MD
• Christina Clancy O'Brien, PSY.D.
• Joseph Raymond O'Brien, M.D.
• Kevin John O'Brien, CRNP
• Elise O'Connell, MD
• Amy O'Connor, LCSW
• Aparna Gupta O'Connor, LCSW-C
• Nicole O'Connor

• Clinical Psychologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.