Active NPI
Robert Edward Obrecht, PH.D., ABPP-CL
- Clinical Neuropsychologist
- San Diego, CA
National Provider Identifier
1427029933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 6301008121
- Practice address
- 2424 Rendova Rd
Building 156
San Diego, CA 92155-5401 - Phone
- (619) 437-5612
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 6301008121 | MI | Primary |
Addresses
Primary practice location
2424 Rendova Rd
Building 156
San Diego, CA 92155-5401
Mailing address
776 F Ave
Coronado, CA 92118-2130
Phone (619) 435-3696
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008121 | MI | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United States Navy | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Military Hospital
- San Diego, CA
- NPI 1649682154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427029933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "776 F AVE",
"city": "CORONADO",
"state": "CA",
"postal_code": "921182130",
"telephone_number": "619-435-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 RENDOVA RD",
"address_2": "BUILDING 156",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921555401",
"telephone_number": "619-437-5612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRECHT",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PH.D., ABPP-CL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MI",
"license": "6301008121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.