Heather O'Leary, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

022566-1 Issued in NY

Practice address

1325 Avenue of the Americas Ste 2860
New York, NY 10019-6026

Phone

(646) 504-5434

NPI assigned

Jul 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Heather Yeghnazar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Jewish Board of Family and Children Services

  • Early Intervention Provider Agency
  • New York, NY
  • NPI 1235512989
  NPD (past)

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1154676427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 AVENUE OF THE AMERICAS STE 2860",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196026",
            "telephone_number": "646-504-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 AVENUE OF THE AMERICAS STE 2860",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196026",
            "telephone_number": "646-504-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "022566-1",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "YEGHNAZAR",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maggie O'Keeffe, PA-C
• Shannon O'Keeffe, NP
• Aileen K O'Leary, M.S.ED
• Daphne O'Leary, MHC-LP
• Elizabeth Dallman O'Leary, MHC-LP
• John V. O'Leary
• Patricia Kathleen O'Leary, MHC-LP
• Patrick F. O'Leary, M.D.
• Sarah O'Leary, BA, RDH
• Xiaoqing O'Leary, M.D., PH.D.

• Counseling Psychologist in New York, NY
• Providers in New York, NY by specialty
• Counseling Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.