Active NPI
Kathleen Therese Omeara, PH.D.
- Forensic Psychologist
- Fairfield, CA
National Provider Identifier
1972906048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY10,000
- Practice address
- 4416 Starflower CT.
Fairfield, CA 94534 - Phone
- (707) 246-1002
- NPI assigned
- Oct 3, 2014
- Last updated
- Oct 3, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY10,000 | CA | Primary |
Addresses
Primary practice location
4416 Starflower CT.
Fairfield, CA 94534
Mailing address
4416 Starflower Court
Fairfield, CA 94534
Phone (707) 246-1002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10,000 | CA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412294400000",
"number": "1972906048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4416 STARFLOWER COURT",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "94534",
"telephone_number": "707-246-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4416 STARFLOWER CT.",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "94534",
"telephone_number": "707-246-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMEARA",
"first_name": "KATHLEEN",
"middle_name": "THERESE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-03",
"last_updated": "2014-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY10,000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.