DR. TAMMY JO CONNELL (NPI# 1245446558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245446558 |
| Entity Type | Individual |
| Full Name | DR. TAMMY JO CONNELL |
| Credential | PH.D. |
| Practice Address |
3910 Caughey Rd Suite T-230 Erie PA 16506-4096 |
| Mailing Address |
4210 Bear Creek Rd 350 Fairview PA 16415-2017 |
| Practice Telephone | 8148383227 |
| Mailing Telephone | 8145725549 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2016-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS007430-L | PA | Behavioral Health & Social Service Providers |
| Street Address |
3910 CAUGHEY RD SUITE T-230 |
| City | ERIE |
| State | PA |
| Zip Code | 16506-4096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811968498 | Stephanie F Russo | Pediatrics | 3910 Caughey Rd, Suite 170, Erie, PA 16506-4096 | 2006-01-31 |
| 1083265508 | Aurelia Jorden | Counselor | 3910 Caughey Rd, Erie, PA 16506-4096 | 2019-09-25 |
| 1477018422 | Matthew G Durney | Counselor | 3910 Caughey Rd, Erie, PA 16506-4096 | 2019-02-04 |
| 1861857534 | Children's Community Care | Pediatrics | 3910 Caughey Rd, Suite 170, Erie, PA 16506-4096 | 2015-12-23 |
| 1932546884 | Meaghan E Johnson | Family Medicine | 3910 Caughey Rd, Suite 150, Erie, PA 16506-4096 | 2013-06-03 |
| 1043446610 | Cunningham Caring and Assoc Inc | In Home Supportive Care | 3910 Caughey Rd, Suite 220, Erie, PA 16506-4096 | 2009-06-09 |
| 1588821987 | Regional Health Services Inc | Clinical Medical Laboratory | 3910 Caughey Rd, Suite 150, Erie, PA 16506-4041 | 2008-05-22 |
| 1336357177 | Holly L Mathe | Physician Assistant | 3910 Caughey Rd, Suite 150, Erie, PA 16506-4096 | 2007-05-17 |
| 1831306695 | Hamot Health Foundation | Non-Pharmacy Dispensing Site | 3910 Caughey Rd, 150, Erie, PA 16506-4096 | 2007-05-17 |
| 1871632091 | Fifth Commandment Corp | Homemaker | 3910 Caughey Rd, Ste 220, Erie, PA 16506-4096 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075956 | Lisa Pawlowski | Psychologist | 1176 Allen Ct, Erie, CO 80516-7007 | 2019-10-24 |
| 1750702791 | Melanie Hetzel-riggin | Psychologist | 5501 Gardner Dr, Erie, PA 16509-3020 | 2013-12-18 |
| 1114213295 | Stephen J Large | Psychologist | 542 W 6th St, # 3, Erie, PA 16507-1169 | 2011-06-27 |
| 1447552856 | Rebecca Lynne Billings | Psychologist | 1373b West 6th Street, Frontier Place, Erie, PA 16505-2503 | 2010-11-18 |
| 1497891360 | Bridget Ann Engel | Psychologist | 526 Briggs St., Suite A, Erie, CO 80516 | 2007-01-29 |
| 1831257849 | David James Johnson | Psychologist | 4622 Peach St., Level 2, Erie, PA 16509-2084 | 2006-12-04 |
| 1417025347 | Michelle M. Domowicz | Psychologist | 11 W 33rd St, Erie, PA 16508-2807 | 2006-11-30 |
| 1518052943 | Marilyn Marshall Hahn | Psychologist | 3939 West Ridge Road, Suite B-23, Erie, PA 16506 | 2006-10-03 |
| 1275625873 | Stephanie Shain Smith | Psychologist | 874 Mircos St, Erie, CO 80516-5407 | 2006-09-29 |
| 1346352481 | Jill Alexander-gottesman | Psychologist | 731 Lincoln Ave, Erie, PA 16505-5015 | 2006-08-31 |
| Find all providers in ERIE | ||||
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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.