Active NPI
Dianne Lucey O'Brien, MED.,P.T.
- Specialist
- Shrewsbury, MA
National Provider Identifier
1316211006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3497
- Practice address
- 28 Eastern Point Dr
Shrewsbury, MA 01545-2173 - Phone
- (508) 757-4371
- NPI assigned
- Feb 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | PT3497 | MA | |
| Specialist | 174400000X | 3497 | MA | Primary |
Addresses
Primary practice location
28 Eastern Point Dr
Shrewsbury, MA 01545-2173
Mailing address
28 Eastern Point Dr
Shrewsbury, MA 01545-2173
Phone (508) 775-7437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3497 | MA | MD | Clinical Psychologist |
| PT3497 | MA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1316211006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 EASTERN POINT DR",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015452173",
"telephone_number": "508-775-7437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 EASTERN POINT DR",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015452173",
"telephone_number": "508-757-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "DIANNE",
"middle_name": "LUCEY",
"credential": "MED.,P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-28",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MA",
"license": "PT3497",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "3497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.