Melanie Jill O'Brien

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

4308 Hanover Park Dr
Jacksonville, FL 32224-8602

Phone

(904) 465-1049

Fax

(904) 438-5423

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Allen Therapy Services, PLLC

  • Early Intervention Provider Agency
  • Jacksonville, FL
  • NPI 1669613832
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1932258555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 HANOVER PARK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322248602",
            "telephone_number": "904-465-1049",
            "fax_number": "904-438-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 HANOVER PARK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322248602",
            "telephone_number": "904-465-1049",
            "fax_number": "904-438-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MELANIE",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812284900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766065100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elizabeth O'Brien, MA CCC-SLP
• Jennifer Lynn O'Brien, MA, CCC-SLP
• Jessica Carter O'Brien, MA
• Maureen O'Brien
• Maureen O'Brien, M.D.
• Melville Clay O'Brien
• Patrick O'Brien, LMHC
• Stacie Dee O'Brien
• Tara O'Brien, BCABA
• Whitney O'Brien, RD

• Developmental Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.