DR. JACOB CONNOLLY (NPI# 1629492830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629492830 |
| Entity Type | Individual |
| Full Name | DR. JACOB CONNOLLY |
| Credential | PSY.D. |
| Practice Address |
1839 Sw 81st Ter Davie FL 33324-4643 |
| Practice Telephone | 7548002003 |
| Mailing Telephone | 7548002003 |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2015-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY 9211 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1839 SW 81ST TER |
| City | DAVIE |
| State | FL |
| Zip Code | 33324-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| 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 |
|---|---|---|---|---|
| 1184092280 | Alessandra Shapiro | Psychologist | 7600 Sw 36th St, Davie, FL 33328-1902 | 2015-09-04 |
| 1558653071 | Brooke Lyall Foris | Psychologist | 3850 S University Dr, 291225, Davie, FL 33329-8573 | 2011-05-03 |
| 1144497546 | Darnley Georges Elizee | Psychologist | 12555 Orange Dr Ste 208, Davie, FL 33330-4304 | 2008-05-14 |
| 1871795559 | Mary Beth Lopez | Psychologist | 6331 Sw 41st Ct, Davie, FL 33314-3405 | 2007-06-04 |
| 1073670808 | Elaine Karbonik | Psychologist | 5337 Orange Dr, Davie, FL 33314-3815 | 2007-01-02 |
| 1548358294 | Michael Fish | Psychologist | 10200 W State Road 84 Ste 105, Davie, FL 33324-4218 | 2006-10-10 |
| 1710910088 | Linda Radford | Psychologist | 12565 Orange Dr, #411, Davie, FL 33330-4303 | 2006-07-09 |
| 1639796675 | Seasons Psychotherapy Associates LLC | Psychologist | 12505 Orange Dr Ste 908, Davie, FL 33330-4300 | 2020-06-25 |
| 1134785090 | John Francis Skicki | Psychologist | 3301 College Ave, Davie, FL 33314-7721 | 2019-05-16 |
| 1801352471 | Jennifer E Sincore | Psychologist | 3440 S University Dr, Davie, FL 33328-2000 | 2019-02-19 |
| Find all providers in DAVIE | ||||
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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.