Active NPI
Michelle O'Cleireachain, PSYD
- Clinical Psychologist
- Tucson, AZ
National Provider Identifier
1063035541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-005185
- Practice address
- 3601 S 6TH Ave
Tucson, AZ 85723-5001 - Phone
- (520) 792-1450
- NPI assigned
- May 19, 2020
- Last updated
- Jul 5, 2021
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY-005185 | AZ | |
| Clinical Psychologist | 103TC0700X | PSY-005185 | AZ | Primary |
Addresses
Primary practice location
3601 S 6TH Ave
Tucson, AZ 85723-5001
Mailing address
2114 W Grant Rd # 15
Tucson, AZ 85745-1141
Phone (505) 358-2308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-005185 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1063035541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 W GRANT RD # 15",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857451141",
"telephone_number": "505-358-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857235001",
"telephone_number": "520-792-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CLEIREACHAIN",
"first_name": "MICHELLE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-19",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "PSY-005185",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "PSY-005185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Kathryn Ann O'Brien, M.D.
- Matthew Gerald O'Brien, PT, DPT
- Siavhan O'Brien, FNP-C
- Stephanie Elizabeth O'Brien, DO
- Marc O'Cleireachain, MD
- Colleen O'Connell, PHARM.D.
- Lance Peter O'Connell, LCSW
- Maureen C O'Connor-Strout, MC, NCC, LPC
- Denett O'Connor, LISAC MASTERS MGMT
- Janet Lee O'Connor, EDS, LPC, LISAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.