Provider Demographics
NPI:1730688482
Name:OBERFELD, AUSTIN BRENT (PSYD)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:BRENT
Last Name:OBERFELD
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16801 FERNWAY RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-3317
Mailing Address - Country:US
Mailing Address - Phone:216-905-4395
Mailing Address - Fax:
Practice Address - Street 1:16801 FERNWAY RD
Practice Address - Street 2:
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44120-3317
Practice Address - Country:US
Practice Address - Phone:216-905-4395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-08
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator