Kevin Michael O'Leary, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

512 Issued in AK

Practice address

2550 Denali St Ste 1610
Anchorage, AK 99503-2753

Phone

(907) 646-9950

Fax

(907) 646-9831

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487703989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 DENALI ST STE 1610",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032753",
            "telephone_number": "907-646-9950",
            "fax_number": "907-646-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 DENALI ST STE 1610",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032753",
            "telephone_number": "907-646-9950",
            "fax_number": "907-646-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AK",
            "license": "512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa O'Kelly
• Lucas O'Laughlin, LMSW
• Allison Lynn O'Leary, LCSW
• Anna O'Leary, RN
• Julia Cradock O'Leary, PH.D.
• Brian O'Loughlin, PA-C
• James E O'Malley, M.D.
• Kristina Theresa Ferro O'Mara, R.N.
• Brittany O'Neal, LMT
• Jennifer R O'Neal

• Clinical Psychologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Clinical Psychologist in Alaska

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.