Elizabeth O'Brien, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006166 Issued in CT

Practice address

120 Holcomb St
Hartford, CT 06112-1529

Phone

(860) 883-4359

NPI assigned

Sep 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Kidsense Therapy Group, LLC

  • Art Therapist
  • Milford, CT
  • NPI 1598151326
  NPD (past)

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1558084749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MERWIN AVE APT A4",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064607199",
            "telephone_number": "203-543-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOLCOMB ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121529",
            "telephone_number": "860-883-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ELIZABETH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "006166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "006166",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE ASSOCIATION",
            "identifier": "14338805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nutrigreene Group LLC
• Rachel Ann Nuzzi
• Ezechi C Nwigwe, CRNA, APRN
• Lynn F O'Bara, APRN
• Patrick M O'Beirne, M.D.
• Emily L O'Brien, APRN
• Grael O'Brien, M.D.
• John J O'Brien, MD
• Karen O'Brien, APRN
• Kelly Jean O'Brien, APRN

• Speech-Language Pathologist in Hartford, CT
• Providers in Hartford, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.