JOHN WILLIAM CLEARY (NPI# 1861531238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861531238 |
| Entity Type | Individual |
| Full Name | JOHN WILLIAM CLEARY |
| Credential | PHD |
| Practice Address |
1620 E 12th St Tulsa OK 74120-5407 |
| Practice Telephone | 9185822131 |
| Practice Fax Number | 9185864219 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
456 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA BEHAVIORAL HEALTH | 4412502 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538339023 | John Baptist Cleary II | Specialist | 29 Chester Pike, Collingdale, PA 19023-2035 | 2008-03-11 |
| 1396308771 | John Cleary | Social Worker | 7052 Route 6n, Edinboro, PA 16412-9610 | 2019-04-21 |
| 1790093425 | John Edward Cleary | Counselor | 116 Summer St, Haverhill, MA 01830-6032 | 2010-09-15 |
| 1942340799 | John Thomas Cleary | Obstetrics & Gynecology | 8091 Township Line Rd Ste 206, Indianapolis, IN 46260-2495 | 2007-02-08 |
| 1134213143 | John Patrick Cleary | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-03 |
| 1265523740 | John Nmn Cleary | Specialist | 7920 Frost St, San Diego, CA 92123-2736 | 2006-09-27 |
| 1285636514 | John B Cleary | Internal Medicine | 3650 Joseph Siewick Dr, Ste 307, Fairfax, VA 22033-1715 | 2005-05-31 |
| Street Address |
1620 E 12TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74120-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382883 | Kaleb Redick | Nurse Practitioner | 1620 E 12th St, Tulsa, OK 74120-5407 | 2019-12-04 |
| 1982161568 | James D Pollard | Social Worker | 1620 E 12th St, Tulsa, OK 74120-5407 | 2019-03-01 |
| 1942700497 | Diana Lynn Tatro | Case Manager/Care Coordinator | 1620 E 12th St, Tulsa, OK 74120-5407 | 2018-02-20 |
| 1942616289 | Michele Despain | Registered Nurse | 1620 E 12th St, Tulsa, OK 74120-5407 | 2014-07-08 |
| 1447663158 | Frances Whisman | Registered Nurse | 1620 E 12th St, Tulsa, OK 74120-5407 | 2014-06-10 |
| 1316282684 | Uchenna Okolonwamu | Physician Assistant | 1620 E 12th St, Tulsa, OK 74120-5407 | 2012-11-27 |
| 1316295470 | Tina Cooper | Counselor | 1620 E 12th St, Tulsa, OK 74120-5407 | 2012-08-21 |
| 1639448079 | William James List | Social Worker | 1620 E 12th St, Tulsa, OK 74120-5407 | 2011-12-14 |
| 1518235019 | Rosemarie Capps | Social Worker | 1620 E 12th St, Tulsa, OK 74120-5407 | 2011-12-12 |
| 1538437140 | Noel Patrick Harter | Counselor | 1620 E 12th St, Tulsa, OK 74120-5407 | 2011-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704321 | Quintella Delana Miller | Case Manager/Care Coordinator | 1043 E Easton St, Tulsa, OK 74120 | 2018-09-24 |
| 1689152092 | Charles Granger Jr. | Case Manager/Care Coordinator | 103 N Greenwood, Suite 320, Tulsa, OK 74120 | 2018-07-30 |
| 1174015598 | Debra Anne Beasley | Counselor | 1619 E. 13th St., Tulsa, OK 74120 | 2018-06-01 |
| 1649775701 | Cara Marie Cantu | Licensed Practical Nurse | 620 South Peoria, Tulsa, OK 74120 | 2018-03-29 |
| 1639558745 | Wei Te Li | Student in an Organized Health Care Education/Training Program | 1207 S Quaker Ave Apt 104, Tulsa, OK 74120 | 2015-05-21 |
| 1225434350 | Marcos Rivero | Community/Behavioral Health | 130 N. Greenwood, Suite 302, Tulsa, OK 74120 | 2014-11-18 |
| 1861742348 | Tamiika Jones | Social Worker | 1533 E 13th St, Apt B, Tulsa, OK 74120 | 2012-09-12 |
| 1730408097 | Teresa Lee Henshaw | Physical Therapist | 1125 S. Trenton, Hillcrest Medical Center- Kaiser Rehab. Center, Tulsa, OK 74120 | 2010-05-26 |
| 1194970384 | Kym Lynnette Lindsay | Speech-Language Pathologist | 1125 S Trenton Ave Fl 3, Tulsa, OK 74120 | 2008-12-01 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| Find all providers in zip 74120 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255979340 | Tulsa Children's Development Center | Psychologist | 6931 S 66th East Ave Ste 200, Tulsa, OK 74133-1765 | 2019-12-19 |
| 1770084600 | Lisa Cromer | Psychologist | 8810 S Yale Ave Ste J, Tulsa, OK 74137-3551 | 2018-02-26 |
| 1124557426 | State of Oklahoma - Osu Center for Health Science College of Osteopath | Psychologist | 2488 E 81st St Ste 3700, Tulsa, OK 74137-4290 | 2017-06-08 |
| 1518339829 | Nathan Brusich | Psychologist | 5230 E 69th Pl, Tulsa, OK 74136-3407 | 2015-10-26 |
| 1649530023 | Namik Kirlic | Psychologist | 1304 W Easton St, Tulsa, OK 74127-6903 | 2012-05-21 |
| 1336448455 | Victoria Leigh Tracy | Psychologist | 7146 S Braden Ave Ste 700, Tulsa, OK 74136-6335 | 2011-03-16 |
| 1598061780 | Diane Constance Kirk | Psychologist | 3010 S Harvard Avenue, Suite 110, Tulsa, OK 74114-6124 | 2011-02-04 |
| 1841509197 | Victoria Lee Mccoy | Psychologist | 6655 S. Yale A, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136 | 2010-10-05 |
| 1023295672 | John Stewart II | Psychologist | 5100 E Skelly Dr Ste 130, Tulsa, OK 74135 | 2008-01-25 |
| 1952506727 | Horace Wade Bedwell | Psychologist | 7945 S Lakewood Ave, Tulsa, OK 74136-9106 | 2007-06-20 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.