Individual provider Active NPI

Robert Timothy O'Byrne, APMH-NP/CNS

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1972774552
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024166755 Issued in VA
Practice address
4020 Raintree Rd Ste a
Chesapeake, VA 23321-3749
Phone
(757) 606-1377
NPI assigned
Mar 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 59180 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024166755 VA Primary

Addresses

Primary practice location

4020 Raintree Rd Ste a
Chesapeake, VA 23321-3749

Mailing address

4020 Raintree Rd Ste a
Chesapeake, VA 23321-3749
Phone (757) 621-5765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608000863 VA Practitioner - Nurse Practitioner 9234366105 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
59180NMMDPsychiatric/Mental Health Nurse Practitioner
0024166755VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Mental Health Associates, Inc CurrentSince Apr 1, 2016 Accepting new patients
In Harmony Wellness Ihw LLC CurrentSince Sep 10, 2020 Accepting new patients
Genesis Counseling Center, Inc. PastSince Dec 7, 2022 Accepting new patients

Locations

4020 Raintree Rd
Ste A
Chesapeake, VA 23321
Phone (757) 606-1377

2112 Hartford Rd
Hampton, VA 23666
Phone (757) 826-7516

4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1972774552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 RAINTREE RD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213749",
            "telephone_number": "757-621-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 RAINTREE RD STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233213749",
            "telephone_number": "757-606-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BYRNE",
        "first_name": "ROBERT",
        "middle_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "APMH-NP/CNS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-21",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "59180",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024166755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.