Individual provider Active NPI

Timothy J O'Brien, PH.D.

  • Clinical Neuropsychologist
  • Fountain Valley, CA
National Provider Identifier
1275924557
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY26611 Issued in CA
Practice address
10061 Talbert Ave # 234
Fountain Valley, CA 92708-5159
Phone
(949) 526-9504
NPI assigned
Feb 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY26611 CA Primary
Clinical Psychologist 103TC0700X PSY26611 CA

Addresses

Primary practice location

10061 Talbert Ave # 234
Fountain Valley, CA 92708-5159

Mailing address

6285 E Spring St # 598
Long Beach, CA 90808-4020
Phone (205) 908-4125

Other practice location 1

2708 Ostrom Ave
Long Beach, CA 90815-1603
Phone (949) 526-9504

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150508002098 CA Practitioner - Clinical Psychologist 7719206945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Long Beach, CA 90815
Phone (949) 526-9504

10061 Talbert Ave
Suite 234
Fountain Valley, CA 92708-5159
Phone (949) 526-9504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY26611CAMDClinical Psychologist
26611CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Neuropsychology & Psychology Clinical Neuropsychologist CurrentSince Jun 19, 2025 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

10061 Talbert Ave
#234
Fountain Valley, CA 92708
Phone (949) 526-9504

6285 E Spring St
Long Beach, CA 90808
Phone (562) 204-6026

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1275924557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 E SPRING ST # 598",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084020",
            "telephone_number": "205-908-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10061 TALBERT AVE # 234",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085159",
            "telephone_number": "949-526-9504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2708 Ostrom Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908151603",
            "country_code": "US",
            "telephone_number": "949-526-9504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-09",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY26611",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.