Individual provider Active NPI

Patrick O'Brien, PHD

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1164991774
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019056 Issued in PA
Practice address
128 N Craig St Ste 215a
Pittsburgh, PA 15213-2758
Phone
(412) 204-7083
NPI assigned
Nov 13, 2018
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS019056 PA Primary

Addresses

Primary practice location

128 N Craig St Ste 215a
Pittsburgh, PA 15213-2758

Mailing address

128 N Craig St Ste 215a
Pittsburgh, PA 15213-2758

Other practice location 1

307 4th Ave Ste 1100
Pittsburgh, PA 15222-2107
Phone (518) 744-0679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210903001267 PA Practitioner - Clinical Psychologist 9133525827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 N Craig St
Suite 215a
Pittsburgh, PA 15213-2758
Phone (412) 204-7083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS019056PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Everyday Practice LLC Clinical CurrentSince Jul 26, 2022 Accepting new patients

Locations

128 N Craig St
Ste 215A
Pittsburgh, PA 15213
Phone (412) 204-7083

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1164991774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N CRAIG ST STE 215A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 N CRAIG ST STE 215A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132758",
            "telephone_number": "412-204-7083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 4th Ave Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152222107",
            "country_code": "US",
            "telephone_number": "518-744-0679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-13",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.