Individual provider Active NPI

Sheilah O'Leary, CRPA-P

  • Peer Specialist
  • Mount Kisco, NY
National Provider Identifier
1063394740
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
8819 Issued in NY
Practice address
24 Smith Ave
Mount Kisco, NY 10549-2814
Phone
(914) 666-6740
Fax
(914) 666-8596
NPI assigned
Jul 23, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 8819 NY Primary

Addresses

Primary practice location

24 Smith Ave
Mount Kisco, NY 10549-2814

Mailing address

24 Smith Ave
Mount Kisco, NY 10549-2814
Phone (914) 666-6740

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

LicenseStateTypeSpecialty
8819NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Center for Recovery, Inc. CurrentSince Jul 28, 2025 Accepting new patients

Locations

24 Smith Ave
Mount Kisco, NY 10549
Phone (914) 666-0191

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1063394740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SMITH AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492814",
            "telephone_number": "914-666-6740",
            "fax_number": "914-666-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SMITH AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492814",
            "telephone_number": "914-666-6740",
            "fax_number": "914-666-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "SHEILAH",
        "name_prefix": "Ms.",
        "credential": "CRPA-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "8819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.