Michael P Obrien, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

24203 Issued in NY

Practice address

34570 State Highway 10
Suite 5
Hamden, NY 13782-1120

Phone

(607) 865-7656

Fax

(607) 865-7659

NPI assigned

Sep 14, 2011

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Delaware County Community Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Walton, NY
  • NPI 1326135237
  NPD (past)

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1477835650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PLATT ST",
            "address_2": "APT 5",
            "city": "WALTON",
            "state": "NY",
            "postal_code": "138561353",
            "telephone_number": "607-206-3287",
            "fax_number": "607-865-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34570 STATE HIGHWAY 10",
            "address_2": "SUITE 5",
            "city": "HAMDEN",
            "state": "NY",
            "postal_code": "137821120",
            "telephone_number": "607-865-7656",
            "fax_number": "607-865-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "24203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jessica Lynn Hofsdal, LPN
• Christopher L Kemp, CASAC
• Joseph T Muehl, LCSW, MSW
• Joan T Orton, CASAC
• Ellen Lucille Whipple, LCSW
• Joanna Ashley Wilbur, RD
• Christine M Wilder, CASAC

• Addiction (Substance Use Disorder) Counselor in Hamden, NY
• Providers in Hamden, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.