JEREMY PAUL CONNOLLY (NPI# 1700328432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700328432 |
| Entity Type | Individual |
| Full Name | JEREMY PAUL CONNOLLY |
| Practice Address |
200 S Broad St Suite 7 New Orleans LA 70119-6447 |
| Mailing Address |
1101 Napoleon Ave Apt E New Orleans LA 70115-2800 |
| Practice Telephone | 5043099991 |
| Practice Fax Number | 5043099930 |
| Mailing Telephone | 5045986402 |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2016-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| Street Address |
200 S BROAD ST SUITE 7 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-6447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952634040 | Shari M Purry | Counselor | 200 S Broad St, Ste 205, New Orleans, LA 70119-6447 | 2009-09-08 |
| 1275003055 | Thawanda R Clark | Counselor | 200 S Broad St, New Orleans, LA 70119-6447 | 2018-12-05 |
| 1194213959 | Sylvon Dent | Social Worker | 200 S Broad St, New Orleans, LA 70119-6447 | 2018-04-27 |
| 1669972568 | Regina Edwards | Counselor | 200 S Broad St, New Orleans, LA 70119-6447 | 2018-02-16 |
| 1063945814 | Channel Bush | Case Manager/Care Coordinator | 200 S Broad St, New Orleans, LA 70119 | 2017-04-08 |
| 1316479249 | Aimee Rust | Counselor | 200 S Broad St, Ste. 8a, New Orleans, LA 70119-6447 | 2017-03-30 |
| 1487195228 | Chantal Banks | Counselor | 200 S Broad St, Suite 7, New Orleans, LA 70119-6447 | 2017-03-13 |
| 1609318195 | Chantel Banks | Counselor | 200 S Broad St, Suite 7, New Orleans, LA 70119-6447 | 2016-11-15 |
| 1477000263 | Chevelle Thompson Rose | Social Worker | 200 S Broad St, Suite 8a, New Orleans, LA 70119-6447 | 2016-09-08 |
| 1497202667 | Elaine Borskey | Counselor | 200 S Broad St, Suite 7, New Orleans, LA 70119-6447 | 2016-09-06 |
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|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467966275 | Yentl Bryant | Psychologist | 3301 Lasalle St, New Orleans, LA 70115-5709 | 2017-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497307615 | James Andrew Hamilton IIi | Psychologist | 3830 Verret St, Saint Bernard, LA 70085-4534 | 2019-07-09 |
| City | NEW ORLEANS |
| Zip Code | 70119 |
Please comment or provide details below to improve the information on JEREMY PAUL 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.