CATHLEEN TERESA CONNOLLY (NPI# 1437307956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437307956 |
| Entity Type | Individual |
| Full Name | CATHLEEN TERESA CONNOLLY |
| Credential | PH.D. |
| Practice Address |
900 Beach Blvd Suite 930 Jacksonville Beach FL 32250-4368 |
| Mailing Address |
Po Box 44230 Jacksonville FL 32231-4230 |
| Practice Telephone | 9043763800 |
| Practice Fax Number | 9043968968 |
| Mailing Telephone | 9043763800 |
| Mailing Fax Number | 9043763998 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2016-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY7785 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE PART B | P00754145 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710149554 | Cathleen Marie Connolly | Occupational Therapist | 220 S Division Ave, Sandpoint, ID 83864-1759 | 2008-07-01 |
| 1508954645 | Cathleen B Connolly | Dietitian, Registered | 6410 Fannin St, 500, Houston, TX 77030-3000 | 2006-10-11 |
| Street Address |
900 BEACH BLVD SUITE 930 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-4368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437136074 | Samuel J. Fern | Family Medicine | 900 Beach Blvd, Credentialing Department, Jacksonville Beach, FL 32250-4368 | 2005-12-26 |
| 1982269361 | Samantha R Gill | Physician Assistant | 900 Beach Blvd, Jacksonville Beach, FL 32250-4368 | 2019-05-01 |
| 1306379847 | Joseph P Orallo | Nurse Practitioner | 900 Beach Blvd, Jacksonville Beach, FL 32250-4368 | 2017-04-11 |
| 1386023463 | Jonathan Gonzalez | Family Medicine | 900 Beach Blvd, Jacksonville Beach, FL 32250 | 2015-05-22 |
| 1609134816 | Anneline Kingsley | Psychiatry & Neurology | 900 Beach Blvd, Suite 930, Jacksonville Beach, FL 32250-4368 | 2012-04-25 |
| 1326329921 | Cheryl Kim Roche | Nurse Practitioner | 900 Beach Blvd, Jacksonville Beach, FL 32250 | 2011-09-09 |
| 1346426061 | Paula Page | Nurse Practitioner | 900 Beach Blvd, Jacksonville Beach, FL 32250-4368 | 2008-01-11 |
| 1699959205 | Lori Austin-mcdonald | Physician Assistant | 900 Beach Blvd, Jacksonville Beach, FL 32250-4368 | 2007-12-19 |
| 1942481999 | Baptist Primary Care Inc | Family Medicine | 900 Beach Blvd, Jacksonville Beach, FL 32250-4368 | 2007-11-19 |
| 1275722266 | Michael D Kring | Physician Assistant | 900 Beach Blvd, Jacksonville Beach, FL 32250-4368 | 2007-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649657289 | Oceanside Family Therapy, LLC | Psychologist | 328 2nd Ave N, Jacksonville Beach, FL 32250-5509 | 2015-05-04 |
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| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1992318380 | Dr Tina Goodin Enterprises Inc | Psychologist | Psychology Center of Palm Beach, 249 Royal Palm Way, Palm Beach, FL 33480 | 2020-08-26 |
| 1639781313 | I.s. Keino Miller I | Psychologist | 1704 Beechwood Cir N, Tallahassee, FL 32301-6765 | 2020-08-23 |
| 1699391029 | Claire Gordijn | Psychologist | 3426 Saddle Blvd, Orlando, FL 32826-3118 | 2020-06-22 |
| 1811519804 | Soul Search Studios | Psychologist | 14360 Marrian Ave, Jupiter, FL 33458-6753 | 2020-05-12 |
| 1548894058 | Magali Rodriguez | Psychologist | 191 W Grossenbacher Dr, Apopka, FL 32712-7031 | 2020-02-24 |
| 1497387211 | Nida Aziz | Psychologist | 6885 B-5 Sw 18th St, Boca Raton, FL 33433 | 2020-02-10 |
| 1578194312 | Daniel Luke Fioramonti | Psychologist | 2940 E Park Ave Ste 2c, Tallahassee, FL 32301-3446 | 2020-01-30 |
| 1902445687 | Recovery Bay, LLC | Psychologist | 9721 Thomas Dr, Panama City Beach, FL 32408-3811 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on CATHLEEN TERESA 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.