Audrey Cleary, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY8599 Issued in FL

Legal business name

AUDREY CLEARY, PH.D.

Practice address

5915 Ponce de Leon Blvd
Suite 19
Coral Gables, FL 33146-2435

Phone

(305) 767-1108

NPI assigned

Jun 30, 2016

Organization subpart

No

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

Authorized official

Name

Audrey Cleary, PH.D.NPI 1740520212

Title

Clinical Psychologist

Phone

(305) 767-1108

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.

• Audrey Cleary, PH.D.

  • Clinical Psychologist
  • Coral Gables, FL
  • NPI 1740520212
  NPD (past) Authorized official

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1801247804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 PONCE DE LEON BLVD",
            "address_2": "SUITE 19",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462435",
            "telephone_number": "305-767-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 PONCE DE LEON BLVD",
            "address_2": "SUITE 19",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462435",
            "telephone_number": "305-767-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY CLEARY, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-767-1108",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Coral Gables, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.