JOHN WILLIAM OBRIEN PMHNP-BC
NPI 1417710260
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Q: What is John Obrien's NPI number?

The NPI number for John Obrien is 1417710260. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Q: What is John Obrien's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for John Obrien was last updated on April 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 05, 2024PECOS EnrolledAccepts Medicare Assignment

94-98 MANHATTAN AVENUE, BROOKLYN, NY 11206(718) 388-0390(718) 486-5741 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2024, Feb 5, 2024 (2 updates tracked since 2024).

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About John William Obrien Pmhnp-bc NPPES

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

JOHN WILLIAM OBRIEN PMHNP-BC (NPI 1417710260) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (405964) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417710260

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJOHN WILLIAM OBRIENCredential: PMHNP-BC

Location Address94-98 MANHATTAN AVENUEBrooklyn, NY 11206-2505

Mailing Address60 Madison Ave Fl 5New York, NY 10010-1600 · (866) 246-8259

Phone(718) 388-0390

Fax(718) 486-5741

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 5, 2024

Last NPPES UpdateApril 28, 20252 updates tracked since enumeration

NPPES CertifiedApril 28, 2025

✔ NPI 1417710260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NY · 405964✔ Licensed in DE · 2023089534

94-98 MANHATTAN AVENUE, Brooklyn, NY 11206

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Secondary Practice Locations 4

Location 11167 Nostrand AveBrooklyn, NY 11225-5417 · Phone (718) 778-0198 · Fax (718) 221-8169

Location 22581 Atlantic AveBrooklyn, NY 11207-2412 · Phone (718) 495-6700 · Fax (646) 988-2840

Location 3999 Blake AveBrooklyn, NY 11208-3535 · Phone (718) 277-8303 · Fax (718) 277-4795

Location 4197 Cherry Blossom DrCamden, DE 19934-4917 · Phone (302) 359-1153

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John William Obrien Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709318710

PECOS Enrollment IDI20241016000259

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

JEAN BIEN-AIME MD

Psychiatry & Neurology (Psychiatry)

94-98 MANHATTAN AVENUE, CABS HEALTH CENTER
BROOKLYN, NY 11206

Kings County (718) 388-0390

EMILY ANNE BROCK LCSW

Social Worker (Clinical)