Cleary Kids LLC

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

CLEARY KIDS LLC

Practice address

3200 Main St FL 1
Grasonville, MD 21638-1030

Phone

(240) 502-2488

NPI assigned

Jan 24, 2025

Organization subpart

No

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

Authorized official

Name

Myra Cleary

Title

Owner

Phone

(301) 640-1580

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1316759558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MAIN ST FL 1",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MAIN ST FL 1",
            "city": "GRASONVILLE",
            "state": "MD",
            "postal_code": "216381030",
            "telephone_number": "240-502-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARY KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-640-1580"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental - Behavioral Pediatrics Physician in Grasonville, MD
• Providers in Grasonville, MD by specialty
• Developmental - Behavioral Pediatrics Physician in Maryland

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