Therese Anne Keary, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P.07595 Issued in OH

Practice address

8180 Brecksville Rd Ste 115
Brecksville, OH 44141-1374

Phone

(440) 546-0048

Fax

(888) 828-2326

NPI assigned

Nov 15, 2017

Last updated

Nov 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1023521796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442020634",
            "telephone_number": "440-546-0048",
            "fax_number": "888-828-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 BRECKSVILLE RD STE 115",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411374",
            "telephone_number": "440-546-0048",
            "fax_number": "888-828-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARY",
        "first_name": "THERESE",
        "middle_name": "ANNE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.07595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Maya Kamath, SLP
• Boris Alexander Karaman, MD
• Kaitlynn Karthan, OTR/L
• George Iouannis Kasidonis Jr., MSW
• Makenzie Marie Katsap, APRN
• Laurie Kelley, OTR/L
• Anita Louise Kellon, RN
• Sue E Keyse, CNP
• Appril Michell Kingery, CPHT
• Suzanne Kirk, MD

• Clinical Psychologist in Brecksville, OH
• Providers in Brecksville, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.

Verify at the official NPI Registry.