Erin C O'Leary

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201150097NP Issued in OR

Practice address

1520 N Alberta St
Portland, OR 97217-3602

Phone

(503) 914-5229

Fax

(503) 200-1241

NPI assigned

Jul 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 2, 2019 through Mar 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Calico Mental Health Associates LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1992223861
  NPD (past)
• O'Leary Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1972964021
  NPD (past)
• The Northwest Catholic Counseling Center

  • Mental Health Counselor
  • Portland, OR
  • NPI 1619091279
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1528355617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 NE WEIDLER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203882",
            "telephone_number": "503-914-5229",
            "fax_number": "503-200-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N ALBERTA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972173602",
            "telephone_number": "503-914-5229",
            "fax_number": "503-200-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "ERIN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200942828RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201150097NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel O'Larey
• Kaitlin O'Laughlen
• O'Leary Mental Health LLC
• Andrea Marie O'Leary, BCBA
• Elizabeth O'Leary
• Joanna O'Leary, MD
• Mackenzie O'Loughlin
• Elizabeth O'Malley-White, LMT
• Cheryl L O'Malley, DMD
• Kayleigh O'Malley

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.