DR. KEVIN P O'BRIEN PH.D. NPI 1396802369

NPI Information

NPI: 1396802369
Provider Name: DR. KEVIN P O'BRIEN, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
9832 N HAYDEN RD
SUITE 106
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 945-3475
Get Directions

DR. Kevin P O'brien, PH.D. is a clinical neuropsychologist in Scottsdale, AZ. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Kevin P O'brien, PH.D. NPI is 1396802369. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9832 N HAYDEN RD
SUITE 106
SCOTTSDALE, AZ
ZIP 85258-298
Phone: (480) 945-3475
Fax: (480) 922-5569

The NPI 1396802369 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 1/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0700X	Psychologist	Adult Development & Aging	1398	ARIZONA	No
2	103T00000X	Psychologist		1398	ARIZONA	No
3	103TB0200X	Psychologist	Cognitive & Behavioral	1398	ARIZONA	No
4	103TF0200X	Psychologist	Forensic	1398	ARIZONA	No
5	103TP2701X	Psychologist	Group Psychotherapy	1398	ARIZONA	No
6	103TR0400X	Psychologist	Rehabilitation	1398	ARIZONA	No
7	103G00000X	Clinical Neuropsychologist		1398	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R09437	MEDICARE UPIN	ARIZONA
2	Z60230	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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