Organization Active NPI

O'Byrne & Associates

  • Clinical Psychologist
  • San Rafael, CA
National Provider Identifier
1629344965
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY17737 Issued in CA
Legal business name
O'BYRNE & ASSOCIATES
Practice address
2175 Francisco Blvd E
Suite L
San Rafael, CA 94901-5510
Phone
(415) 686-4459
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Robynne O'Byrne, PH.D.NPI 1508122128
Title
Chief Financial Officer
Phone
(425) 686-4459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY17737 CA Primary

Addresses

Primary practice location

2175 Francisco Blvd E
Suite L
San Rafael, CA 94901-5510

Mailing address

9 Ana CT
San Rafael, CA 94903-3301
Phone (415) 686-4459

National Provider Directory

National Provider Directory

Locations

2175 Francisco Blvd E
Ste L
San Rafael, CA 94901
Phone (415) 457-1910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1629344965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ANA CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033301",
            "telephone_number": "415-686-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 FRANCISCO BLVD E",
            "address_2": "SUITE L",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015510",
            "telephone_number": "415-686-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'BYRNE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "O'BYRNE",
        "authorized_official_first_name": "ROBYNNE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "425-686-4459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.