Marianne O'Leary, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

03270 Issued in MD

Practice address

3355 Saint Johns LN
Suite F
Ellicott City, MD 21042-2605

Phone

(410) 465-5520

Fax

(410) 480-0110

NPI assigned

Dec 8, 2006

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

Medicare fee-for-service enrollment

Enrolled in MD

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, 1993

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

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.

• Maryland Group Faculty Practice LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1104036300
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720147374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 SAINT JOHNS LN",
            "address_2": "SUITE F",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422605",
            "telephone_number": "410-465-5520",
            "fax_number": "410-480-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 SAINT JOHNS LN",
            "address_2": "SUITE F",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422605",
            "telephone_number": "410-465-5520",
            "fax_number": "410-480-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Adanna Nwandu
• Melanie Powers Nystrom, MA, NBC-HWC
• Michael J O'Connell, PH.D.
• Kristen M O'Hanlon, OT/LT
• Katherine O'Hare, M.S., CCC-SLP
• Michael O'Shaughnessy
• Oasis RX Solutions, LLC
• Maria Celia Gorantes Obedicen, R.P.T.
• Rosemary Obiefune, MSN, CRNP, PMHNP-BC
• Yvonne Nonyelum Obike, CRNP

• Psychologist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Psychologist in Maryland

• 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.