MR. MICHAEL CHARLES CONNOLLY (NPI# 1952424616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952424616 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL CHARLES CONNOLLY |
| Credential | LMHC |
| Practice Address |
3947 Salisbury Rd Jacksonville FL 32216-6115 |
| Mailing Address |
412 Piper Pl Jacksonville FL 32259-4320 |
| Practice Telephone | 9042347803 |
| Practice Fax Number | 9048998759 |
| Mailing Telephone | 9042871261 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH4717 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125856 | Michael Gerard Connolly | Psychoanalyst | 214 W 97th St, New York, NY 10025-5620 | 2018-05-19 |
| 1003240177 | Michael Connolly | Behavioral Analyst | 1826 Markham Ave Ne # B, Tacoma, WA 98422-1015 | 2013-08-26 |
| 1629163456 | Michael Joseph Connolly | Dentist | 393a River Rd, Fair Haven, NJ 07704-3029 | 2006-10-04 |
| 1669423554 | Michael G Connolly Jr. | Internal Medicine | 1022 1st Street North, Suite 401, Alabaster, AL 35007-8718 | 2006-05-15 |
| 1821058801 | Michael L. Connolly | Dentist | 6200 N Hiawatha Ave, Suite 650, Chicago, IL 60646-4309 | 2006-03-24 |
| 1518941665 | Michael J Connolly | Internal Medicine | 8826 E Tanque Verde Rd, Tucson, AZ 85749-9607 | 2005-12-02 |
| 1003303181 | Michael Connolly | Student in an Organized Health Care Education/Training Program | 263 Farmington Ave, Farmington, CT 06030-1921 | 2018-04-16 |
| 1144737362 | Michael B Connolly | Counselor | 4645 Pacheco Blvd, Martinez, CA 94553-3625 | 2018-01-09 |
| 1861889909 | Michael John Connolly | Radiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-04-15 |
| 1689089005 | Michael Kevin Connolly | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2014-06-24 |
| Street Address |
3947 SALISBURY RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-6115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700868809 | Mohammed Touheed | Internal Medicine | 3947 Salisbury Rd, Jacksonville, FL 32216-6115 | 2005-11-16 |
| 1992313712 | Anthony Mark Laquidara | Nurse Practitioner | 3947 Salisbury Rd, Jacksonville, FL 32216-6115 | 2020-07-17 |
| 1316573173 | Latara Taylor | Nurse Practitioner | 3947 Salisbury Rd, Jacksonville, FL 32216-6115 | 2020-03-12 |
| 1124584479 | Amy Kay Mclaughlin | Nurse Practitioner | 3947 Salisbury Rd, Jacksonville, FL 32216-6115 | 2019-02-12 |
| 1942471065 | Wekiva Springs Center LLC | Substance Abuse Rehabilitation Facility | 3947 Salisbury Rd, Jacksonville, FL 32216-6115 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
| 1902418684 | Molly Ann Burkhardt | Counselor | 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 | 2020-08-23 |
| 1194335638 | Aiteria Green | Counselor | 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 | 2020-08-07 |
| 1053920116 | Barbara Burden | Counselor | 209 N Carole Dr, Jacksonville, NC 28546-4845 | 2020-07-24 |
| 1790393973 | Kelley Holladay | Counselor | 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 | 2020-07-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1447877709 | Quendria Johnson-kerns | Counselor | 200 Zonnie Ln, Jacksonville, NC 28540-9729 | 2020-07-02 |
| 1467077164 | Shanna Horan | Counselor | 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 | 2020-06-09 |
| 1720602527 | Shannon E Raikes | Counselor | 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 | 2020-06-08 |
| 1750905253 | Kathlena N Reed | Counselor | 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 | 2020-06-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on MR. MICHAEL CHARLES 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.