Active NPI
Cathy Leary, PH. D.
- Counseling Psychologist
- San Antonio, TX
National Provider Identifier
1417969262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 21635
- Practice address
- 7744 Broadway St
Ste. 105
San Antonio, TX 78209-3225 - Phone
- (210) 821-3365
- Fax
- (210) 822-7542
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 21635 | TX | Primary |
Addresses
Primary practice location
7744 Broadway St
Ste. 105
San Antonio, TX 78209-3225
Mailing address
7744 Broadway St
Ste. 105
San Antonio, TX 78209-3225
Phone (210) 821-3365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00FJ92 | Other | TX | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21635 | TX | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417969262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7744 BROADWAY ST",
"address_2": "STE. 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782093225",
"telephone_number": "210-821-3365",
"fax_number": "210-822-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7744 BROADWAY ST",
"address_2": "STE. 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782093225",
"telephone_number": "210-821-3365",
"fax_number": "210-822-7542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEARY",
"first_name": "CATHY",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "21635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00FJ92",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
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.