MS. MARY CONNOLLY (NPI# 1417283615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417283615 |
| Entity Type | Individual |
| Full Name | MS. MARY CONNOLLY |
| Credential | LMSW |
| Practice Address |
92 Evergreen St Staten Island NY 10308-1812 |
| Practice Telephone | 7183444981 |
| Mailing Telephone | 7183444981 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 6072764 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | STATE CERTIFICATATE LMSW | 6072764 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477044238 | Mary Lee Connolly | Home Health Aide | 724 Sawyer St, South Portland, ME 04106-4619 | 2018-05-28 |
| 1275970113 | Mary Wilson Connolly | Specialist/Technologist | 5975 S Blackburn Rd, Athens, OH 45701-3847 | 2013-06-02 |
| 1669740064 | Mary B Connolly | Registered Nurse | 658 Watson Rd, Fairport, NY 14450-8503 | 2011-12-13 |
| 1598094542 | Mary Michael Connolly | Registered Nurse | 10 Westchester Cir, Dedham, MA 02026-5248 | 2009-12-21 |
| 1558535559 | Mary J Connolly | Family Medicine | 100 Foden Road, East, Suite 203, South Portland, ME 04106-2327 | 2008-04-22 |
| 1588852057 | Mary Ann Connolly | Physical Therapist | 413 King George Rd, Suite 205, Basking Ridge, NJ 07920-2817 | 2007-10-10 |
| 1306937156 | Mary Connolly | Physician Assistant | 15 Berwick St, West Roxbury, MA 02132-4217 | 2006-09-27 |
| 1316046865 | Mary Frances Connolly | Psychologist | 278 North High St., Suite 1, Romney, WV 26757 | 2006-09-21 |
| 1124674361 | Mary C Connolly | Speech-Language Pathologist | 3391 Richmond Ave, Staten Island, NY 10312-2025 | 2019-08-14 |
| 1932581840 | Mary Connolly | Pharmacist | 5110 Yelm Hwy Se, Lacey, WA 98503-5060 | 2015-06-26 |
| Street Address |
92 EVERGREEN ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10308-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336402338 | Mary Connolly Lmsw PC | Early Intervention Provider Agency | 92 Evergreen St, Staten Island, NY 10308-1812 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410117 | Young Minds Early Enrichment | Early Intervention Provider Agency | 143 Wiman Avenue, Staten Island, NY 10308 | 2019-10-29 |
| 1346619483 | Babymedevac, Inc. | Ambulance | 150 L Greaves Lane, Suite 142, Staten Island, NY 10308 | 2015-09-18 |
| 1497179527 | Advanced Life Care Planning LLC | Home Health | 255 Katan Ave., Score Rehab, Staten Island, NY 10308 | 2014-02-10 |
| 1255777009 | Laura Marie De La Cruz | Specialist | 132 Sandalwood Dr, Staten Island, NY 10308 | 2013-05-21 |
| 1205179363 | Danielle Gorga | Registered Nurse | 68 Harbour Court, Staten Island, NY 10308 | 2013-03-27 |
| 1427307388 | Maria Madelyn Sylvester | Specialist | 4024 Amboy Road, Staten Island, NY 10308 | 2012-09-06 |
| 1679836241 | Concetta Maria Falzone | Specialist | 51 Margaret Street, Staten Island, NY 10308 | 2012-06-19 |
| 1972865392 | Michael D. Desarlo | Specialist | 175 Sandalwood Drive, Staten Island, NY 10308 | 2012-06-12 |
| 1881991867 | Markella Zannikos | Speech-Language Pathologist | 423 Corbin Avenue, Staten Island, NY 10308 | 2011-02-28 |
| 1013227800 | Therapy Link PC | Community/Behavioral Health | 3936 Amboy Road, Staten Island, NY 10308 | 2010-10-14 |
| Find all providers in zip 10308 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756152 | Cassidy G Distefano | Behavioral Analyst | 112 Travis Ave, Staten Island, NY 10314-6217 | 2020-10-06 |
| 1447867510 | Minira Ottiano | Behavioral Analyst | 27 Regis Dr, Staten Island, NY 10314-1445 | 2020-09-23 |
| 1174138788 | Laura Victoria Martinez | Behavioral Analyst | 61 Chelsea St, Staten Island, NY 10307-1710 | 2020-09-10 |
| 1508475641 | Rowland Beoku-betts | Behavioral Analyst | 458 Midland Ave, Staten Island, NY 10306-5109 | 2020-07-24 |
| 1518580018 | Madona Shaker | Behavioral Analyst | 46 Roanoke St, Staten Island, NY 10314-5032 | 2020-05-19 |
| 1316573181 | Lauren Galanaugh | Behavioral Analyst | 3653 Hylan Blvd, Staten Island, NY 10308-3516 | 2020-03-12 |
| 1871144089 | Oksana Semeniak | Behavioral Analyst | 30 Delia Ct, Staten Island, NY 10307-2217 | 2019-09-28 |
| 1235791823 | Joseph Tromello | Behavioral Analyst | 77 Appleby Ave, Staten Island, NY 10305-3509 | 2019-07-03 |
| 1497317226 | Irina Grigoryan | Behavioral Analyst | 4 Seidman Ave, Staten Island, NY 10312-5023 | 2019-07-02 |
| 1154982791 | Jennifer E Salemi | Behavioral Analyst | 37 Sea Breeze Ln, Staten Island, NY 10307-1981 | 2019-06-25 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10308 |
Please comment or provide details below to improve the information on MS. MARY CONNOLLY.
| 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.