Kaitlin Marie O'Brien, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY35098 Issued in CA

Practice address

940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757

Phone

(949) 743-1457

NPI assigned

Apr 14, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Southern California Neurology Medical Group, Inc.

  • Neurology Physician
  • Pasadena, CA
  • NPI 1639461825
  Medicare reassignment NPD
• Julia Evans PHD Psychology PC

  • Clinical Psychologist
  • Costa Mesa, CA
  • NPI 1861902280
  NPD
• Southern California Neurology Medical Group, Inc.

  • Neurology Physician
  • Glendale, CA
  • NPI 1407236466
  NPD

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1194468439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OLYMPIC",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466766",
            "telephone_number": "562-293-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S COAST DR STE 225",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267757",
            "telephone_number": "949-743-1457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 S Fair Oaks Ave Ste 325",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052675",
            "country_code": "US",
            "telephone_number": "626-535-9344",
            "fax_number": "626-535-9387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Nayeli Nunez
• Sara Ruth Nunez
• Gisselle Nuno
• Kelsey Nunziata
• Nicole Nutter
• Keven Patrick O'Brien
• Bridget O'Connell
• Cristina Patricia O'Connell, BCBA
• Timothy O'Connell
• Megan Joyce O'Farrell, L.AC.

• Clinical Psychologist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.