Michael Patrick O'Brien, MD

Individual provider Active NPI Psychiatry Physician · Stonington, CT

NPI 1811070972 · NPPES record last updated Aug 13, 2009

Key facts

NPI
1811070972
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
014409 (CT)
Practice address
32 Water Street
Stonington, CT 06378
Phone
(860) 535-2028
Fax
(860) 535-9195
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14409CTMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 014409 CT Yes

Addresses

Primary practice location

32 Water Street
Stonington, CT 06378

Mailing address

32 Water Street
Stonington, CT 06378
Phone (860) 535-2028

Other providers in Stonington, CT

All providers in Stonington, CT · Psychiatry Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.