DR. MARK ANDREW CONNELLY (NPI# 1407874753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407874753 |
| Entity Type | Individual |
| Full Name | DR. MARK ANDREW CONNELLY |
| Credential | PHD |
| Practice Address |
2401 Gillham Rd 4th Floor, Developmental and Behavioral Sciences Kansas City MO 64108-4619 |
| Practice Telephone | 8162343193 |
| Practice Fax Number | 8164601080 |
| Mailing Telephone | 8162343193 |
| Mailing Fax Number | 8163461382 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2006016149 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770670572 | Mark E Connelly | Pharmacist | 718 Smyth Rd., Va Medical Center, Manchester, NH 03104 | 2006-10-05 |
| 1235168683 | Mark John Connelly | Dentist | 911 E State St, Suite C, Saint Johns, MI 48879-1684 | 2006-06-30 |
| 1770876583 | Mark Stephen Connelly | Pediatrics | 111 Michigan Ave Nw, Suite M4800, Washington, DC 20010-2916 | 2011-05-26 |
| 1679743538 | Mark David Connelly | Emergency Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2008-03-07 |
| 1437154358 | Mark V Connelly | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-16 |
| Street Address |
2401 GILLHAM RD 4TH FLOOR, DEVELOPMENTAL AND BEHAVIORAL SCIENCES |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921533 | Brent Ellis Cully | Radiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2005-06-13 |
| 1649878265 | Noelle Elise St. Jacques | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-10-15 |
| 1376150243 | Casey M Bradshaw | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-25 |
| 1457967606 | Jennifer Coil | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-22 |
| 1396359923 | Kelli Nicole Ayars | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1407460058 | Eric Bowles | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-09-01 |
| 1740892504 | Katlyn Kelley | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-21 |
| 1528670759 | Sarah Carstensen | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-19 |
| 1619588373 | Kacie E Cass | Health Educator | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-14 |
| 1932719259 | Maureen Elizabeth Guignon | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| 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 |
|---|---|---|---|---|
| 1154941359 | Kimberly Hinman | Psychologist | 17 W 66th St, Kansas City, MO 64113-1825 | 2020-04-17 |
| 1174868715 | Francis Luke Bradley | Psychologist | 1106 Nw South Shore Dr, Kansas City, MO 64151-1440 | 2012-12-08 |
| 1073877957 | Skylar Bellinger | Psychologist | 3901 Rainbow Blvd, Msn 4003, Kumed, Cchd, Kansas City, KS 66160-0001 | 2012-06-26 |
| 1710268685 | Leigh Anne Randa | Psychologist | 6000 N Chatham Ave, Kansas City, MO 64151-2457 | 2011-09-06 |
| 1245462456 | Kimberly J Langrehr | Psychologist | 5100 Rockhill Rd, Umkc School of Education, Kansas City, MO 64110-2446 | 2009-08-20 |
| 1861697674 | Heather Lynn Noble | Psychologist | 4825 Troost St, Suite 206, Kansas City, MO 64110-2499 | 2007-06-20 |
| 1578779039 | Larry Roger Bethel | Psychologist | 3619 Broadway St, Suite 12, Kansas City, MO 64111-2503 | 2007-05-14 |
| 1528270683 | Richard Abloff | Psychologist | 6306 Walnut St, Kansas City, MO 64113 | 2007-05-03 |
| 1184842775 | Mary Lynn Warmbrodt | Psychologist | 14920 E 49th Ter, Kansas City, MO 64136-1305 | 2007-04-22 |
| 1306977426 | Bruce K. Manley | Psychologist | 8350 N Saint Clair Ave, Suite 250, Kansas City, MO 64151-5100 | 2007-03-08 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64108 |
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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.