Provider Demographics
NPI:1942172465
Name:O'BRIEN, KATE (PSYD)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9102 N MERIDIAN ST STE 550
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1899
Mailing Address - Country:US
Mailing Address - Phone:317-559-3221
Mailing Address - Fax:317-686-5394
Practice Address - Street 1:9102 N MERIDIAN ST STE 550
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1899
Practice Address - Country:US
Practice Address - Phone:317-559-3221
Practice Address - Fax:317-686-5394
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program