Active NPI
Carolyn McCreary, PH.D.
- Clinical Psychologist
- Columbus, OH
National Provider Identifier
1861511149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4584
- Practice address
- 2 Easton Oval Ste 450
Columbus, OH 43219-6035 - Phone
- (614) 475-9500
- Fax
- (614) 475-9821
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 4584 | OH | |
| Psychologist | 103T00000X | 4584 | OH | |
| Adult Development & Aging Psychologist | 103TA0700X | 4584 | OH | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 4584 | OH | |
| Family Psychologist | 103TF0000X | 4584 | OH | |
| Health Service Psychologist | 103TH0100X | 4584 | OH | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 4584 | OH | |
| Psychoanalysis Psychologist | 103TP0814X | 4584 | OH | |
| Group Psychotherapy Psychologist | 103TP2701X | 4584 | OH | |
| Rehabilitation Psychologist | 103TR0400X | 4584 | OH | |
| Clinical Psychologist | 103TC0700X | 4584 | OH | Primary |
Addresses
Primary practice location
2 Easton Oval Ste 450
Columbus, OH 43219-6035
Mailing address
2 Easton Oval Ste 450
Columbus, OH 43219-6035
Phone (614) 475-9500
Other practice location 1
6077 Frantz Rd
Ste 102
Dublin, OH 43017-3325
Phone (614) 734-8675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sailor Health Medical PA | Psychologist | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1861511149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EASTON OVAL STE 450",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196035",
"telephone_number": "614-475-9500",
"fax_number": "614-475-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EASTON OVAL STE 450",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196035",
"telephone_number": "614-475-9500",
"fax_number": "614-475-9821"
}
],
"practiceLocations": [
{
"address_1": "6077 Frantz Rd",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430173325",
"country_code": "US",
"telephone_number": "614-734-8675",
"fax_number": "614-734-7557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCREARY",
"first_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2021-04-26",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "OH",
"license": "4584",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4584",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "OH",
"license": "4584",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "4584",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "OH",
"license": "4584",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "OH",
"license": "4584",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "OH",
"license": "4584",
"primary": false
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "OH",
"license": "4584",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "OH",
"license": "4584",
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": "OH",
"license": "4584",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "4584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.