DR. KEVIN J CONNOLLY (NPI# 1336246925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336246925 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J CONNOLLY |
| Credential | PH.D. |
| Practice Address |
6 Northwestern Dr Suite 306 Bloomfield CT 06002-3463 |
| Practice Telephone | 8602423702 |
| Practice Fax Number | 8602421964 |
| Mailing Telephone | 8602423702 |
| Mailing Fax Number | 8602421964 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
001144 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457373391 | Kevin F Connolly | Psychiatry & Neurology | 404-b Black Hills Ln Sw, Olympia, WA 98502-8148 | 2006-07-23 |
| 1649233560 | Kevin Patrick Connolly | Family Medicine | Psc 76 Box 4861, Apo, AP 96319-0027 | 2006-04-11 |
| 1710502182 | Kevin Connolly | Student in an Organized Health Care Education/Training Program | 15 E Chestnut St, Augusta, ME 04330-5736 | 2020-06-11 |
| 1841848744 | Kevin James Connolly | Speech-Language Pathologist | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2019-09-04 |
| 1699260737 | Kevin Connolly | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2018-06-29 |
| 1104352764 | Kevin Connolly | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2017-05-02 |
| 1215314257 | Kevin Patrick Connolly | Pediatrics | 2823 Fresno St, Fresno, CA 93721-1324 | 2015-04-28 |
| 1124419643 | Kevin Connolly | Counselor | 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108-2915 | 2015-02-06 |
| 1841633948 | Kevin Connolly | Internal Medicine | 1310 Las Tablas Rd Ste 103, Templeton, CA 93465 | 2013-04-09 |
| 1821229360 | Kevin Mark Connolly | Psychologist | 1500 E Woodrow Wilson Ave, (116a2), Jackson, MS 39216-5116 | 2009-07-31 |
| Street Address |
6 NORTHWESTERN DR SUITE 306 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053373431 | Saumitra R Banerjee | Colon & Rectal Surgery | 6 Northwestern Dr, Suite # 305, Bloomfield, CT 06002-3463 | 2006-04-03 |
| 1043596646 | Maureen Elizabeth Fearon | Nurse Practitioner | 6 Northwestern Dr, Suite 303, Bloomfield, CT 06002-3463 | 2011-10-26 |
| 1508099243 | Susan Silverman Neagle | Nurse Practitioner | 6 Northwestern Dr, Suite 201, Bloomfield, CT 06002-3463 | 2009-08-28 |
| 1205063849 | Daniel James Mullins | Colon & Rectal Surgery | 6 Northwestern Dr, Bloomfield, CT 06002-3463 | 2009-06-21 |
| 1629216569 | Nirupa Rachel Sekaran | Registered Nurse | 6 Northwestern Dr, Bloomfield, CT 06002-3463 | 2009-01-30 |
| 1922266436 | Eric Michael Bezler | Pediatrics | 6 Northwestern Dr, Suite 101, Bloomfield, CT 06002-3463 | 2008-05-30 |
| 1124175070 | Robert T Lewis | Surgery | 6 Northwestern Dr, Suite 305, Bloomfield, CT 06002-3463 | 2007-01-04 |
| 1700980323 | Richard Slater | Internal Medicine | 6 Northwestern Dr, Suite 302, Bloomfield, CT 06002-3463 | 2006-09-12 |
| 1386748994 | Paul A Shapiro | Internal Medicine | 6 Northwestern Dr, Suite 302, Bloomfield, CT 06002-3463 | 2006-09-12 |
| 1780788398 | Theodore Loewenthal | Internal Medicine | 6 Northwestern Dr, Suite 302, Bloomfield, CT 06002-3463 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609253384 | Ricardo Martinez | Psychologist | 2 Broad St, 7th Fl, Bloomfield Vet Center, Bloomfield, NJ 07003 | 2015-05-01 |
| 1285952127 | James Paul Acquilano | Psychologist | 7931 Baptist Hill Rd, Bloomfield, NY 14469-9724 | 2010-05-15 |
| 1508078825 | Michele Krynski | Psychologist | 1 Regency Drive, #101, Bloomfield, CT 06002 | 2007-05-07 |
| 1821145467 | Bruce Martin Freedman | Psychologist | 6 Northwestern Dr Ste 306, Bloomfield, CT 06002-3428 | 2007-01-05 |
| 1174610182 | Nicole Ann Waldron | Psychologist | 348 Franklin St, Third Floor, Bloomfield, NJ 07003-3496 | 2006-10-10 |
| 1508899212 | Psychological Health Associates LLC | Psychologist | 701 Cottage Grove Rd Ste 302, Bloomfield, CT 06002-3080 | 2006-07-08 |
| 1972131308 | Lifesource of North Carolina | Psychologist | 140 Park Ave, Bloomfield, CT 06002-3207 | 2020-03-31 |
| 1922663160 | Davis & Davis Psychology and Consulting Services | Psychologist | 340 Franklin St Fl 2, Bloomfield, NJ 07003-3491 | 2019-05-02 |
| 1992007835 | North Jersey Psychological Services, LLC | Psychologist | 348 Franklin St, Bloomfield, NJ 07003-3496 | 2010-11-29 |
| 1689795296 | Scott Steven Miller | Psychologist | 185 Broad St, Bloomfield, NJ 07003-2605 | 2007-04-02 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on DR. KEVIN J 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.