Active NPI
William Colden O'Leary Jr., PH. D.
- Counseling Psychologist
- Evans, GA
National Provider Identifier
1710120233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 177
- Practice address
- 4988 Hereford Farm Rd
Evans, GA 30809-6006 - Phone
- (706) 860-2438
- NPI assigned
- Apr 14, 2009
- Sex
- Male
- 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 | 177 | SC | Primary |
Addresses
Primary practice location
4988 Hereford Farm Rd
Evans, GA 30809-6006
Mailing address
P. O. Box 8052
North Augusta, SC 29861
Phone (706) 755-6211
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239667200000",
"number": "1710120233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 8052",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "29861",
"telephone_number": "706-755-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4988 HEREFORD FARM RD",
"city": "EVANS",
"state": "GA",
"postal_code": "308096006",
"telephone_number": "706-860-2438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LEARY",
"first_name": "WILLIAM",
"middle_name": "COLDEN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-14",
"last_updated": "2009-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "SC",
"license": "177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.