Deborah Ann Cleary

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Practice address

2412 Forest Home Ave
Dayton, OH 45404-2410

Phone

(937) 212-9606

NPI assigned

Nov 16, 2020

Reactivated

Oct 20, 2022

Last updated

Oct 20, 2022By the provider in NPPES

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1578165338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 FOREST HOME AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454042410",
            "telephone_number": "937-212-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 FOREST HOME AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454042410",
            "telephone_number": "937-212-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "deactivation_date": "2022-10-08",
        "reactivation_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5718622",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dayton",
            "affiliation": "N",
            "address_1": "2412 Forest Home Ave",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454042410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clayton Family Dental LLC
• Clayton Health and Wellness Center Inc
• Cleaning Is an Essential
• Clearview Treatment Services LLC
• Danielle Elizabeth Tirjer Cleary, PA-C
• Myron Cleckner, PHARM D
• Christine Clegg, RN
• Clem Kirkland, M.D., Inc
• Laura Clemans, LISW-S
• Gage Michael Clemens

• Child Intellectual and/or Developmental Disabilities Respite Care in Dayton, OH
• Providers in Dayton, OH by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.