DR. CHRISTINE O'LEARY
NPI 1790350221
Prevention Professional in Fort Wayne, IN

Active since May 26, 2021
5902 HOMESTEAD RD, FORT WAYNE, IN 46814(260) 434-0207 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Prevention Professional

About CHRISTINE O'LEARY

This page provides the complete NPI Profile along with additional information for Christine O'leary, a provider established in Fort Wayne, Indiana with a medical specialization in Prevention Professional. The healthcare provider is registered in the NPI registry with number 1790350221 assigned on May 2021. The practitioner's primary taxonomy code is 405300000X with license number 24007106A (IN). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1790350221 Verify this NPI
Provider Name
DR. CHRISTINE O'LEARY
Gender
Female
Entity Type
Individual
Location Address
5902 HOMESTEAD RD FORT WAYNE, IN 46814
Location Phone
(260) 434-0207
Mailing Address
5902 HOMESTEAD RD FORT WAYNE, IN 46814
Mailing Phone
(260) 434-0207
Is Sole Proprietor?
Yes
Enumeration Date
05-26-2021
Last Update Date
05-26-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prevention Professional

Taxonomy Code
405300000X
Type
Other Service Providers
License No.
24007106A
License State
IN
Taxonomy Description
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Public Health or Welfare
5902 HOMESTEAD RD
FORT WAYNE, IN 46814
Prevention Professional
5902 HOMESTEAD RD
FORT WAYNE, IN 46814
Prevention Professional
5902 HOMESTEAD RD
FORT WAYNE, IN 46814

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790350221, enumerated as an "individual" on May 26, 2021.

The provider is located at 5902 HOMESTEAD RD FORT WAYNE, IN 46814 and the phone number is (260) 434-0207.

Prevention Professional with taxonomy code 405300000X.