John F Oleary PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6301003315 Issued in MI

Legal business name

JOHN F OLEARY PH.D.

Practice address

25600 Woodward Ave
Suite 107
Royal Oak, MI 48067-0943

Phone

(248) 542-8421

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John F Oleary, PH.D.NPI 1942292354

Title

Neuropsychologist

Phone

(248) 542-8421

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Francis O'Leary, PHD

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1942292354

  Clinical Neuropsychologist

  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750505418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25600 WOODWARD AVE",
            "address_2": "SUITE 107",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670943",
            "telephone_number": "248-542-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25600 WOODWARD AVE",
            "address_2": "SUITE 107",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670943",
            "telephone_number": "248-542-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F OLEARY PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLEARY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "248-542-8421",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301003315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.