Maureen Cleary, SCHOOL/CLINICAL PSYC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1432 Issued in MN

Practice address

14040 NE 181St St
Woodinville, WA 98072-4373

Phone

(651) 642-1704

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1710041850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980140566",
            "telephone_number": "612-723-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 NE 181ST ST",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724373",
            "telephone_number": "651-642-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "SCHOOL/CLINICAL PSYC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "TE61047907",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770353800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Cho, PHARM.D.
• Sunghee Briana Choi, DDS
• Emily Chow
• Shannon Marie Christen, AUD
• Linda Chung, M.S., CCC-SLP
• Suzanne Clegern-Siler, M.A., CCC-SLP
• Matt Clute, DC
• Josh D Cobbley, OTR
• Cassandra T Colin, LMT
• Compass Mental Wellness LLC

• Psychologist in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.