Organization Active NPI

O'Brien Psychological Services, Inc.

  • Psychologist
  • Indianapolis, IN
National Provider Identifier
1164799623
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
O'BRIEN PSYCHOLOGICAL SERVICES, INC.
Practice address
5336 Elmwood Ave
Indianapolis, IN 46203-6023
Phone
(317) 258-5058
Fax
(317) 575-6453
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Ms. Michelle X O'Brien, MBA
Title
Office Manager
Phone
(317) 258-5058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

5336 Elmwood Ave
Indianapolis, IN 46203-6023

Mailing address

13200 Dunwoody LN
Carmel, IN 46033-8742
Phone (317) 258-5058

National Provider Directory

National Provider Directory

Locations

5336 Elmwood Ave
Indianapolis, IN 46203
Phone (317) 258-5058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1164799623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13200 DUNWOODY LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338742",
            "telephone_number": "317-258-5058",
            "fax_number": "317-575-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 ELMWOOD AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462036023",
            "telephone_number": "317-258-5058",
            "fax_number": "317-575-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'BRIEN PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-258-5058",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.