MATTHEW O'BYRNE (NPI# 1437425774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437425774 |
| Entity Type | Individual |
| Full Name | MATTHEW O'BYRNE |
| Credential | PH.D. |
| Practice Address |
2175 Francisco Blvd E San Rafael CA 94901-5510 |
| Practice Telephone | 4154571910 |
| Mailing Telephone | 4154571910 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY16458 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2175 FRANCISCO BLVD E |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-5510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841457942 | Gabrielle Marie Taylor | Psychiatry & Neurology | 2175 Francisco Blvd E, Suite L, San Rafael, CA 94901-5510 | 2008-05-18 |
| 1508122128 | Robynne O'byrne | Psychologist | 2175 Francisco Blvd E, Suite L, San Rafael, CA 94901-5510 | 2012-04-09 |
| 1629344965 | O'byrne & Associates | Psychologist | 2175 Francisco Blvd E, Suite L, San Rafael, CA 94901-5510 | 2012-03-30 |
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|---|---|---|---|---|
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| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750446647 | William Keith Sutton | Psychologist | 1001 D St, San Rafael, CA 94901-2800 | 2006-12-22 |
| 1508955436 | Neal Benner Mcsherry | Psychologist | 161 Mitchell Blvd Ste 101, San Rafael, CA 94903-2068 | 2006-10-11 |
| 1245328855 | John Robert Karr II | Psychologist | 3230 Kerner Blvd, San Rafael, CA 94901-4840 | 2006-10-10 |
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| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
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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.