Individual provider Active NPI

Julia Cradock O'Leary, PH.D.

  • Clinical Psychologist
  • Anchorage, AK
National Provider Identifier
1194802363
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
513 Issued in AK
Practice address
2550 Denali St
Suite 1610
Anchorage, AK 99503-2736
Phone
(907) 646-9820
Fax
(907) 646-9831
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 513 AK Primary

Addresses

Primary practice location

2550 Denali St
Suite 1610
Anchorage, AK 99503-2736

Mailing address

2550 Denali St
Suite 1610
Anchorage, AK 99503-2736
Phone (907) 646-9820

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194802363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 DENALI ST",
            "address_2": "SUITE 1610",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032736",
            "telephone_number": "907-646-9820",
            "fax_number": "907-646-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 DENALI ST",
            "address_2": "SUITE 1610",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032736",
            "telephone_number": "907-646-9820",
            "fax_number": "907-646-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "JULIA",
        "middle_name": "CRADOCK",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.