JAMES WILLIAM CONNELLY (NPI# 1841324332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841324332 |
| Entity Type | Individual |
| Full Name | JAMES WILLIAM CONNELLY |
| Credential | PSY.D |
| Practice Address |
2076 S Eagle Rd Meridian ID 83642-6707 |
| Mailing Address |
13389 W Bellflower Dr Boise ID 83713-1345 |
| Practice Telephone | 2089557333 |
| Practice Fax Number | 2089557330 |
| Mailing Telephone | 2089390951 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 202425 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002269500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336539758 | James Connelly | General Practice | Geiger Blvd Building 598, Beaufort, SC 29904 | 2015-01-24 |
| 1215197934 | James Anthony Connelly | Dentist | 2277 Warren Rd, Indiana, PA 15701 | 2008-06-16 |
| 1508884016 | James Brian Connelly | Optometrist | 517 Dakota Ave, Wahpeton, ND 58075-4414 | 2006-07-17 |
| 1902321763 | James Clark Connelly | Physical Therapist | 705 Town Blvd Ne Ste S550, Brookhaven, GA 30319-7216 | 2017-08-13 |
| 1811394380 | James Connelly | Pharmacist | 9135 Sw Barnes Rd, Suite 263, Portland, OR 97225-6646 | 2014-11-29 |
| 1053560151 | James M Connelly | Physical Therapist | 278 Genesee St, Auburn, NY 13021-3231 | 2008-09-12 |
| 1962685420 | James D Connelly | Counselor | 10845 Harney St, Omaha, NE 68154-2639 | 2007-12-06 |
| 1417149568 | James M Connelly | Physical Therapist | 290 Clyde Morris Blvd Ste A1, Ormond Beach, FL 32174-8204 | 2007-08-13 |
| 1619001872 | James Albert Connelly | Pediatrics | 2200 Childrens Way, Nashville, TN 37232-0005 | 2007-03-16 |
| 1124116819 | James F Connelly | Anesthesiology | 725 American Ave, Waukesha, WI 53188-5031 | 2006-10-10 |
| Street Address |
2076 S EAGLE RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740314228 | Carolyn Suzanne Golden | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2007-03-15 |
| 1558776740 | Jonathan Morgan | Social Worker | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2014-06-25 |
| 1720326986 | Laura Learned | Speech-Language Pathologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2013-01-23 |
| 1972852572 | Johnathan August Sharrette | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642 | 2012-08-29 |
| 1821359522 | Ann Marie Corey | Nurse Practitioner | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2012-05-30 |
| 1841550423 | Molly Marie Brady | Student in an Organized Health Care Education/Training Program | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2012-05-17 |
| 1982963393 | Michael Mccaleb | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2012-05-07 |
| 1053679985 | Michael Brinker | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2012-04-28 |
| 1447537436 | Brian Peck | Social Worker | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2011-11-04 |
| 1013223445 | Northwest Neurobehavioral Health, LLC | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2010-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993230 | Morgan Mental Health Group LLC | Psychologist | 4600 W Quarterhorse Ln, Meridian, ID 83642-5438 | 2019-10-12 |
| 1528595329 | Richard D Craig | Psychologist | 2178 W Windchime Dr, Meridian, ID 83646-3535 | 2017-05-11 |
| 1194075994 | Daniel Glen Gibson | Psychologist | 850 E Franklin Rd Ste 404, Meridian, ID 83642 | 2012-09-19 |
| 1285815399 | Serenity Neuropsychology, Pllc | Psychologist | 2498 N Stokesberry Pl Ste 150, Meridian, ID 83646-5150 | 2007-11-16 |
| 1225248370 | Laurie Anne Jensen | Psychologist | 2596 N Stokesberry Pl Ste 125, Meridian, ID 83646-6432 | 2007-05-23 |
| 1740494434 | Roscoe Lormer Douglas | Psychologist | 1207 White Oak Dr, Meridian, MS 39305-1902 | 2007-05-10 |
| 1134248750 | Sheila Sturgeon Freitas | Psychologist | 3709 N Locust Grove Rd Ste 150, Meridian, ID 83646-5924 | 2007-03-28 |
| 1740314228 | Carolyn Suzanne Golden | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2007-03-15 |
| 1588673545 | View Point Associates | Psychologist | 1711 Millenium Way, Meridian, ID 83642-1511 | 2006-08-07 |
| 1750396537 | Barbara A Ottenhoff | Psychologist | 2965 E Tarpon Dr, Suite 150, Meridian, ID 83642-9009 | 2006-07-30 |
| Find all providers in MERIDIAN | ||||
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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.