Individual provider Active NPI

Vanessa Jayne Leary, PSYD

  • Clinical Psychologist
  • North Chelmsford, MA
National Provider Identifier
1114252236
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11895 Issued in MA
Practice address
10 Adams St Ste 2
North Chelmsford, MA 01863-1746
Phone
(351) 322-3005
NPI assigned
Oct 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 11895 MA Primary

Addresses

Primary practice location

10 Adams St Ste 2
North Chelmsford, MA 01863-1746

Mailing address

272 Old Oaken Bucket Rd
Scituate, MA 02066-4403

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
11895MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa J Leary, PSYD, Psychological Services LLC CurrentSince Oct 30, 2022 Accepting new patients

Locations

10 Adams St
Ste 2
North Chelmsford, MA 01863
Phone (978) 251-7337

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1114252236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 OLD OAKEN BUCKET RD",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ADAMS ST STE 2",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631746",
            "telephone_number": "351-322-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "VANESSA",
        "middle_name": "JAYNE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-07",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.