DR. SANDRA SUE MCCONNELL (NPI# 1154548139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154548139 |
Entity Type | Individual |
Full Name | DR. SANDRA SUE MCCONNELL |
Credential | PH.D. |
Practice Address |
146 S Granite St Prescott AZ 86303-4710 |
Practice Telephone | 9284455400 |
Mailing Telephone | 9284455400 |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
3786615 | AZ | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942439328 | Sandra Gail Mcconnell | Massage Therapist | 341 Country Club Dr, Franklin, NC 28734-7738 | 2009-07-07 |
Street Address |
146 S GRANITE ST |
City | PRESCOTT |
State | AZ |
Zip Code | 86303-4710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619078128 | Susan Kay Braverman | Registered Nurse | 146 S Granite St, Prescott, AZ 86303-4710 | 2006-09-26 |
1154724722 | Mai Nguyen | Registered Nurse | 146 S Granite St, Prescott, AZ 86303-4710 | 2014-09-26 |
1841624061 | Ann Carlson-willette | Speech-Language Pathologist | 146 S Granite St, Prescott, AZ 86303-4710 | 2013-08-23 |
1669729703 | Anna Marie Carnegie Marx | Registered Nurse | 146 S Granite St, Prescott, AZ 86303-4710 | 2012-08-08 |
1558656140 | Teresa Ann Mueller-sanchez | Speech-Language Pathologist | 146 S Granite St, Prescott, AZ 86303-4710 | 2011-06-13 |
1821322504 | Brenda Lacey Moles | Registered Nurse | 146 S Granite St, Prescott, AZ 86303-4710 | 2009-09-28 |
1538326897 | Sonia M Dicristina | Psychologist | 146 S Granite St, Prescott, AZ 86303-4710 | 2008-05-22 |
1831362169 | Christine Ruth Burnett | Psychologist | 146 S Granite St, Prescott, AZ 86303-4710 | 2008-04-08 |
1376721779 | Jerry Joseph Bourassa | Specialist | 146 S Granite St, Prescott, AZ 86303-4710 | 2008-02-07 |
1952588899 | Laurel S Shunk | Speech-Language Pathologist | 146 S Granite St, Prescott, AZ 86303-4710 | 2008-01-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
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Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881851129 | Christine Harris | Psychologist | 926 Hinman St, Prescott, AZ 86305-1620 | 2008-05-22 |
1447786157 | Joseph Donaldson | Psychologist | 1090 Commerce Dr, Prescott, AZ 86305-3700 | 2017-05-02 |
1831362169 | Christine Ruth Burnett | Psychologist | 146 S Granite St, Prescott, AZ 86303-4710 | 2008-04-08 |
1801099833 | Elizabeth Fidler | Psychologist | 146 S Granite St, Prescott, AZ 86303-4710 | 2007-06-07 |
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---|---|---|---|---|
1053912691 | Jane Ann Petschow | Psychologist | 445 W Chandler Blvd Apt 464, Chandler, AZ 85225-1965 | 2020-11-02 |
1225635154 | Shannon Napelee | Psychologist | 9405 N 53rd Dr, Glendale, AZ 85302-3305 | 2020-10-04 |
1922616929 | Latisha Kareem Ojuriye | Psychologist | 400 N Coronado St Apt 1012, Chandler, AZ 85224-4184 | 2020-07-16 |
1689299133 | Chloe Arns | Psychologist | 16484 N 68th Ave, Peoria, AZ 85382-3981 | 2020-06-10 |
1710522487 | Aubri Hall | Psychologist | 21115 E Alyssa Rd, Queen Creek, AZ 85142-6556 | 2019-11-16 |
1659927242 | Kristin Lee Carbone-kebble | Psychologist | 480 Mate Ln, Lake Havasu City, AZ 86406-6201 | 2019-08-10 |
1841843067 | Rebecca Harmon | Psychologist | 6151 E Wildcat Dr, Cave Creek, AZ 85331-3043 | 2019-07-17 |
1922589126 | Lisa M Browne | Psychologist | 3584 E Fox Trotter Rd, Tucson, AZ 85739-8334 | 2018-08-24 |
1336637321 | Rebecca Simonson | Psychologist | 6200 E San Bernardino, Tucson, AZ 85715-3037 | 2018-04-25 |
1053826545 | Angela Coyle | Psychologist | 4841 W Lone Dove Dr, Marana, AZ 85658-4735 | 2017-12-06 |
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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.