Maureen S Colleary, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

01451 Issued in CT

Practice address

609 W Johnson Ave Ste 104
Cheshire, CT 06410-4506

Phone

(203) 272-6007

Fax

(203) 272-8895

NPI assigned

Sep 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Maureen S Colleary Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Advanced Telepsych PLLC

  • Psychiatry Physician
  • Middletown, CT
  • NPI 1508456377
  NPD

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1417598616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ARUNDEL AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071708",
            "telephone_number": "860-690-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W JOHNSON AVE STE 104",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104506",
            "telephone_number": "203-272-6007",
            "fax_number": "203-272-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEARY",
        "first_name": "MAUREEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "01451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "COLLEARY",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "STANLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clear Path Planning LLC
• Thomas Francis Clukey, D.C.
• Brian C Cohen, D.O.
• Susan Parker Cohen, RD, CD-N
• Juliette Lace Cole, LPC
• Juanita D Collier, OD
• Rachel Colman, M.D
• Kevin Colwell, PH.D.
• Compass Counseling Services
• Compass Medical Group, LLC

• Psychologist in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.