Organization Active NPI

Dr Kevin O'Brien, PHD

Doing business as Coaching and Psychotherapy

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1255602389
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0517291 Issued in NY
Legal business name
DR KEVIN O'BRIEN, PHD
Doing business as
Coaching and Psychotherapy
Practice address
24 E 12TH St
Suite 603
New York, NY 10003-4513
Phone
(212) 539-3710
NPI assigned
Jan 20, 2012
Last updated
Jan 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Dr. Kevin O'Brien, PH.D., BCD, LCSWNPI 1881947216
Title
Doctor/ Psychotherapist
Phone
(212) 539-3710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R0517291 NY Primary

Addresses

Primary practice location

24 E 12TH St
Suite 603
New York, NY 10003-4513

Mailing address

24 E 12TH St
Suite 603
New York, NY 10003-4513
Phone (212) 539-3710

Other names 1

  • Coaching and Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

24 E 12th St
Ste 603
New York, NY 10003
Phone (212) 539-3710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1255602389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 E 12TH ST",
            "address_2": "SUITE 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034513",
            "telephone_number": "212-539-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E 12TH ST",
            "address_2": "SUITE 603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034513",
            "telephone_number": "212-539-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KEVIN O'BRIEN, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DOCTOR/ PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "212-539-3710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0517291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coaching and Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.