Active NPI
Brian B O'Donohue, R.N.
- Adult Psychiatric/Mental Health Registered Nurse
- Middletown, NY
National Provider Identifier
1871362707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 476883
- Practice address
- 45 Ashley Ave
Middletown, NY 10940-1912 - Phone
- (845) 326-8059
- NPI assigned
- Dec 20, 2023
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 476883 | NY | Primary |
Addresses
Primary practice location
45 Ashley Ave
Middletown, NY 10940-1912
Mailing address
21 Water Street
Wurtsboro, NY 12790-0465
Phone (845) 313-4503
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 476883 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1871362707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WATER STREET",
"city": "WURTSBORO",
"state": "NY",
"postal_code": "127900465",
"telephone_number": "845-313-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 ASHLEY AVE",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109401912",
"telephone_number": "845-326-8059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONOHUE",
"first_name": "BRIAN",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-20",
"last_updated": "2023-12-20",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "476883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.