NICHOLAS JAMES O'BRIEN (NPI# 1134504715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134504715 |
| Entity Type | Individual |
| Full Name | NICHOLAS JAMES O'BRIEN |
| Credential | PMHNP |
| Practice Address |
60 N Main St 3rd Floor Waterbury CT 06702-1443 |
| Practice Telephone | 2034378896 |
| Practice Fax Number | 2034378347 |
| Mailing Telephone | 2034378896 |
| Mailing Fax Number | 2034378347 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6158 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285143941 | Nicholas E O'brien | Counselor | 2463 E Gala St, Meridian, ID 83642 | 2017-09-26 |
| 1831605716 | Nicholas R O'brien | Physical Therapist | 3121 Fire Rd Ste D, Egg Harbor Township, NJ 08234-9619 | 2017-12-14 |
| Street Address |
60 N MAIN ST 3RD FLOOR |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871037564 | Francisco Camacho | Social Worker | 60 N Main St, 3rd Floor, Waterbury, CT 06702-1443 | 2016-12-14 |
| 1003280157 | A Prospering Vision Holistic Medical Services, LLC | Nurse Practitioner | 60 N Main St, 3rd Flr, Waterbury, CT 06702-1443 | 2015-11-30 |
| 1033484027 | Janice Renee Miles | Marriage & Family Therapist | 60 N Main St, 3rd Floor, Waterbury, CT 06702-1443 | 2012-03-09 |
| 1932473527 | A Prospering Vision, LLC | Community/Behavioral Health | 60 N Main St, 3rd Flr, Waterbury, CT 06702-1443 | 2012-02-29 |
| 1699093492 | Jody Lynn Zenkus | Social Worker | 60 N Main St, Waterbury, CT 06702-1443 | 2010-05-04 |
| 1013167311 | Elijah Caldwell | Social Worker | 60 N Main St, 3rd Flr, Waterbury, CT 06702-1443 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072033 | Sarah Michelle Whalen | Nurse Practitioner | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2020-04-23 |
| 1720616246 | Susan Antoinette Pappas | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2020-03-30 |
| 1578022166 | Daedly Potusek | Nurse Practitioner | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2019-03-14 |
| 1124592274 | Deon Johnson-allen | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2019-01-11 |
| 1356818421 | Olanike Oyeyemi Idowu | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-10-26 |
| 1104344506 | Kimberly Burns | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2017-09-06 |
| 1114462561 | Shantelle Brokaw | Nurse Practitioner | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2016-12-21 |
| 1407201957 | Alexandria Smith | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2016-05-03 |
| 1225461221 | Alyson Nicolosi | Nurse Practitioner | 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 | 2013-08-13 |
| 1780997601 | Barbara Kimble-goodman | Nurse Practitioner | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2010-07-20 |
| Find all providers in WATERBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.