Active NPI
Judy L. O'Leary-Sargeant, PH.D.
- Clinical Psychologist
- Cary, NC
National Provider Identifier
1013098847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014378
- Practice address
- 1135 Kildare Farm Rd
Suite 200-7
Cary, NC 27511 - Phone
- (919) 415-4716
- Fax
- (585) 586-8603
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5870 | NC | |
| Clinical Psychologist | 103TC0700X | 014378 | NY | Primary |
Addresses
Primary practice location
1135 Kildare Farm Rd
Suite 200-7
Cary, NC 27511
Mailing address
4716 Swordfish Dr
Raleigh, NC 27603
Phone (585) 303-8903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010014373 | Other | NY | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5870 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1013098847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 SWORDFISH DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27603",
"telephone_number": "585-303-8903",
"fax_number": "585-586-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 KILDARE FARM RD",
"address_2": "SUITE 200-7",
"city": "CARY",
"state": "NC",
"postal_code": "27511",
"telephone_number": "919-415-4716",
"fax_number": "585-586-8603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LEARY-SARGEANT",
"first_name": "JUDY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5870",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P010014373",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.