Active NPI
Jacqueline Marie Cleary, DO
- Psychiatry Physician
- Lexington, KY
National Provider Identifier
1902556301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 06289
- Practice address
- 1350 Bull Lea Rd
Lexington, KY 40511-1247 - Phone
- (859) 246-8000
- NPI assigned
- Mar 28, 2022
- Last updated
- Apr 1, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 06289 | KY | Primary |
Addresses
Primary practice location
1350 Bull Lea Rd
Lexington, KY 40511-1247
Mailing address
1350 Bull Lea Rd
Lexington, KY 40511-1247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Liberty Univ College of Osteopathic Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
115 Waller Ave
Suite 209
Lexington, KY 40503-1035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06289 | KY | MD | Psychiatry Physician |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
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- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1902556301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 BULL LEA RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 BULL LEA RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111247",
"telephone_number": "859-246-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "06289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.