SEAN MICHAEL CONNOLLY (NPI# 1821367624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821367624 |
| Entity Type | Individual |
| Full Name | SEAN MICHAEL CONNOLLY |
| Credential | B.S |
| Practice Address |
140 South Holly Street Medford OR 97501 |
| Practice Telephone | 5417748200 |
| Practice Fax Number | 5417747964 |
| Mailing Telephone | 5417748200 |
| Mailing Fax Number | 5417747964 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2014-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669685046 | Sean Paul Connolly | Dentist | 11440 Carmel Commons Blvd, Suite 109, Charlotte, NC 28226-5308 | 2007-05-08 |
| 1447321492 | Sean Gerard Connolly | Psychologist | 6800 Park Ten Blvd., Suite 298 West, San Antonio, TX 78213 | 2006-11-13 |
| 1316980394 | Sean G Connolly | Optometrist | 21780 21 Mile Rd, Macomb, MI 48044-2974 | 2006-06-14 |
| 1346602877 | Sean Brett Connolly | Internal Medicine | 251 E Huron St, Chicago, IL 60611-2908 | 2016-03-23 |
| 1497173488 | Sean Connolly | Pediatrics | 1600 Rockland Rd, Suite 2b80, Wilmington, DE 19803-3607 | 2014-04-07 |
| 1598997868 | Sean Patrick Connolly | Dentist | 1585 Third Street, Usa Dentac, Ft Polk, LA 71446 | 2009-08-20 |
| 1679500417 | Sean Fitzpatrick Connolly Sr. | Podiatrist | 459 Broadway, Everett, MA 02149-3614 | 2006-06-27 |
| 1639136518 | Sean E. Connolly | Internal Medicine | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-04-26 |
| Street Address |
140 SOUTH HOLLY STREET |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843725 | Luis Felix Oxholm | Psychiatry & Neurology | 140 South Holly Street, Medford, OR 97501 | 2005-10-03 |
| 1508313586 | Kimberli Lanelle Bean | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2016-09-07 |
| 1194116640 | Albert Edward Solochier | Registered Nurse | 140 South Holly Street, Medford, OR 97501-3113 | 2015-02-05 |
| 1487051363 | Jamie Marie Barton | Counselor | 140 South Holly Street, Medford, OR 97501 | 2014-11-20 |
| 1063818342 | Caitlin Lawson | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-11-13 |
| 1316343692 | Sheena Bisera | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-11-13 |
| 1225434996 | Louisa Saloma | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-11-07 |
| 1255735098 | Richelle Raelynn Marshall | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-10-21 |
| 1992109045 | Kevin Hoeper | Case Manager/Care Coordinator | 140 South Holly Street, Medford, OR 97501 | 2014-10-17 |
| 1083018683 | Susan Sherrill | Counselor | 140 South Holly Street, Medford, OR 97501 | 2014-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| 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 |
|---|---|---|---|---|
| 1821601568 | Dr. Chelsea Levy Licensed Psychologist LLC | Psychologist | 203 Spring St, Medford, MA 02155-2814 | 2020-08-24 |
| 1225521792 | Susan Baker | Psychologist | 39 Stanley Ave, Medford, MA 02155-5617 | 2018-06-11 |
| 1942799556 | Linda Louise Faldetta | Psychologist | 2 Gleason St, Medford, MA 02155-2223 | 2018-05-09 |
| 1043717481 | Catherine Barba | Psychologist | 84 High St Ste 2a, Medford, MA 02155-3844 | 2018-04-11 |
| 1093235459 | Clarity Behavioral Medicine LLC | Psychologist | 10 Crater Lake Ave Ste 18, Medford, OR 97504-7445 | 2017-06-26 |
| 1447485552 | Lani C. Fujitsubo | Psychologist | 229 Eric Ct, Medford, OR 97504-9053 | 2009-05-18 |
| 1598945149 | Harry Michael Shallcross | Psychologist | 41 Tee Pee Ct, Medford, NJ 08055-9763 | 2007-11-13 |
| 1831308642 | Ritu Sharma | Psychologist | 120 Curtis St, Tufts University Cmhs, Medford, MA 02155-5819 | 2007-05-21 |
| 1821118605 | Robin Seeley | Psychologist | 815 E Jackson St, Medford, OR 97504-6713 | 2007-03-29 |
| 1427178227 | Hutter & Seeley Psychological Services, P.C. | Psychologist | 711 Medford Center, #168, Medford, OR 97504 | 2007-03-29 |
| Find all providers in MEDFORD | ||||
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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.