DR. MEDRIA LOU CONNOLLY (NPI# 1164540316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164540316 |
| Entity Type | Individual |
| Full Name | DR. MEDRIA LOU CONNOLLY |
| Credential | PH.D. |
| Practice Address |
2444 Wilshire Blvd Suite 500 Santa Monica CA 90403-5808 |
| Practice Telephone | 3102642602 |
| Practice Fax Number | 3102642601 |
| Mailing Telephone | 3102642602 |
| Mailing Fax Number | 3102642601 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | PSY9977 | CA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY9977 | CA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY9977 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2444 WILSHIRE BLVD SUITE 500 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-5808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114935160 | Beth Mackenzie | Social Worker | 2444 Wilshire Blvd, Suite #400, Santa Monica, CA 90403-5808 | 2006-08-04 |
| 1356972293 | Lonny Damerel Miller | Marriage & Family Therapist | 2444 Wilshire Blvd, Santa Monica, CA 90403-5808 | 2020-01-29 |
| 1902442171 | Josephine Mcnary Md, Inc. | Psychiatry & Neurology | 2444 Wilshire Blvd, Ste 414, Santa Monica, CA 90403-5811 | 2019-11-22 |
| 1154799492 | Megan Coulter | Social Worker | 2444 Wilshire Blvd, Suite 500, Santa Monica, CA 90403 | 2015-09-03 |
| 1174877906 | Jesse Lauricella | Marriage & Family Therapist | 2444 Wilshire Blvd, Suite 624, Santa Monica, CA 90403-5808 | 2012-10-31 |
| 1609151869 | Bonnie Berman | Psychologist | 2444 Wilshire Blvd, Suite 400, Santa Monica, CA 90403-5808 | 2011-10-19 |
| 1851610646 | Cynthia Rubin Brown | Marriage & Family Therapist | 2444 Wilshire Blvd, Suite 415, Santa Monica, CA 90403-5808 | 2010-05-19 |
| 1194056739 | Daniel C Minton | Psychiatry & Neurology | 2444 Wilshire Blvd, Suite 404, Santa Monica, CA 90403 | 2010-01-21 |
| 1639408479 | Julia Maynard Schwartz | Psychiatry & Neurology | 2444 Wilshire Blvd, Suite 624, Santa Monica, CA 90403-5808 | 2009-12-07 |
| 1407099211 | Mary Lynn Rapier, Ph.d., A Psychology Corporation | Psychologist | 2444 Wilshire Blvd, Suite 624, Santa Monica, CA 90403-5808 | 2009-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033750468 | Erin Margolis | Psychologist | 1247 7th St Ste 200, Santa Monica, CA 90401-1660 | 2019-10-07 |
| 1063066132 | Lena Harris | Psychologist | 185 Pier Ave Ste 109, Santa Monica, CA 90405-5358 | 2019-07-27 |
| 1992364905 | Elisa Leal | Psychologist | 1831 Stanford St Ste 108, Santa Monica, CA 90404-4117 | 2019-06-12 |
| 1538628243 | Joanna M Ceppi | Psychologist | 2811 Wilshire Blvd Ste 660, Santa Monica, CA 90403-4823 | 2019-03-13 |
| 1013492388 | Gideon Psychology, PC | Psychologist | 1137 2nd St Ste 216, Santa Monica, CA 90403-5077 | 2018-10-02 |
| 1932615846 | Beth Levy | Psychologist | 3435 Ocean Park Blvd Ste 211, Santa Monica, CA 90405-3315 | 2017-12-15 |
| 1932633302 | Brenda Heidrich | Psychologist | 270 26th St Ste 202, Santa Monica, CA 90402-2543 | 2017-04-12 |
| 1972052694 | Lisa Burklund | Psychologist | 429 Santa Monica Blvd Ste 460, Santa Monica, CA 90401-3455 | 2016-09-22 |
| 1265987861 | Diana Devilliers | Psychologist | 138 Bicknell Ave, Santa Monica, CA 90405-2221 | 2016-08-24 |
| 1205212420 | Anna Selena Cho | Psychologist | 169 Pier Ave., Suite 5, Santa Monica, CA 90405-5311 | 2015-08-11 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
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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.