KELLY O'BRIEN
NPI 1417407933
Specialist in Medford, NY

Active since October 07, 2016
1 SCOUTING BLVD, MEDFORD, NY 11763(631) 297-3202 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly O'brien NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY O'BRIEN (NPI 1417407933) is an individual specialist in Medford, New York, licensed in New York (993240151) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1417407933
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKELLY O'BRIEN
Location Address1 SCOUTING BLVDMedford, NY 11763-2220
Mailing Address1 Scouting BlvdMedford, NY 11763-2220
Sole ProprietorNo
Enumeration DateOctober 7, 2016
NPI 1417407933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 993240151
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1 SCOUTING BLVD, Medford, NY 11763

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
1 SCOUTING BLVD
MEDFORD, NY 11763
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Specialist/Technologist, Other
1 SCOUTING BLVD
MEDFORD, NY 11763
Early Intervention Provider Agency
1 SCOUTING BLVD
MEDFORD, NY 11763
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly O'brien's NPI number?

The NPI number for Kelly O'brien is 1417407933. It was assigned to this individual provider in the NPPES registry on October 7, 2016.

Where is Kelly O'brien located?

Kelly O'brien practices at 1 Scouting Blvd, Medford, NY 11763. The listed phone number is (631) 297-3202.

What is Kelly O'brien's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly O'brien was last updated on October 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.