Obrien Dennis Initiative

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

OBRIEN DENNIS INITIATIVE

Practice address

36 S 15TH Ave # 2
Mount Vernon, NY 10550-2814

Phone

(718) 869-1862

NPI assigned

Sep 10, 2024

Last updated

Sep 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dennis O'Brien Tyson, MPANPI 1023992906

Title

President/Ceo

Phone

(718) 869-1862

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis Tyson

  • Community Health Worker
  • Irvington, NY
  • NPI 1023992906
  NPD Authorized official

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1912733676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 S 15TH AVE # 2",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502814",
            "telephone_number": "718-869-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 S 15TH AVE # 2",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502814",
            "telephone_number": "718-869-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBRIEN DENNIS INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "O'BRIEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "718-869-1862",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Oates
• Charlene A. Obeng, OTR/L
• Hagar Oboh
• Obosa Medical Care, P.L.L.C.
• Obosa Medical Services,PC
• Ifeoma Erica Obumneme-Akaneme
• Andrea Ochoa, RN
• Tomilola Wilson Odumuwagun, PA-C
• Mitchell Alan Offner, M.D.
• Martha Ogunjana

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.