DR. JAMES J CONNOLLY (NPI# 1578783361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578783361 |
Entity Type | Individual |
Full Name | DR. JAMES J CONNOLLY |
Credential | PH.D |
Practice Address |
758 Broad Street Ext Waterford CT 06385-1345 |
Practice Telephone | 8604426218 |
Practice Fax Number | 8604472477 |
Mailing Telephone | 8604426218 |
Mailing Fax Number | 8604472477 |
Enumeration Date | 2007-04-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TF0200X |
Psychologist Specialization: Forensic |
1302 | CT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609255223 | James Joseph Connolly | Hospitalist | 650 Albany Street, 5th Floor, Rm 504, Evans Biomedical Research Center Bldg., Boston, MA 02118 | 2015-05-28 |
1518299585 | James Shea Connolly | Respiratory Therapist, Registered | 9406 S. Leon Ranch Road, Vail, AZ 85641 | 2010-02-02 |
1902096456 | James Frederick Connolly Sr. | Preventive Medicine | 3625 W Montague Ave, North Charleston, SC 29418 | 2007-07-31 |
1245446004 | James John Connolly | Dentist | 514 Circle Dr, Belle Vernon, PA 15012-9680 | 2007-05-15 |
1699880583 | James L Connolly | Pathology | Dept Pathology B I Hosp, 330 Brookline Avenue, Boston, MA 02215 | 2006-08-20 |
1972589448 | James L Connolly | Otolaryngology | 1420 N Causeway Blvd, Mandeville, LA 70471-3104 | 2005-12-16 |
1235649146 | James Connolly | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-9800 | 2017-10-05 |
1669904538 | James Connolly | Student in an Organized Health Care Education/Training Program | 525 E 68th St, New York, NY 10065-4870 | 2017-03-30 |
1164403614 | James Connolly II | Obstetrics & Gynecology | 1633 N Capitol Ave, Suite 500, Indianapolis, IN 46202-1261 | 2005-11-10 |
Street Address |
758 BROAD STREET EXT |
City | WATERFORD |
State | CT |
Zip Code | 06385-1345 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700928280 | Ellen Rountree Calkins | Social Worker | 758 Broad Street Ext, Waterford, CT 06385-1345 | 2007-02-13 |
1376831701 | Madeleine Leveille | Psychologist | 758 Broad Street Ext, Waterford, CT 06385-1345 | 2011-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
Find all providers in zip 06385 |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497084107 | Stephanie Leite | Psychologist | 12 Merrywood, Simsbury, CT 06070-2613 | 2009-12-09 |
1609105972 | Deborah Gruen | Psychologist | 4 Whitney Street Ext, Westport, CT 06880-3768 | 2009-12-16 |
1699008326 | Caren Beth Teitelbaum | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3310 | 2009-09-14 |
1386782977 | Applied Behavioral Sciences LLC | Psychologist | 68 S Main St Bsmt 100, West Hartford, CT 06107-2430 | 2007-02-03 |
1548322423 | Logan Green, Ph.d. | Psychologist | 494 Main St, Apt 1, Cromwell, CT 06416-2040 | 2006-12-15 |
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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.