Active NPIIndividual providerSole proprietor

Dr. Kevin J Connolly, PHD

Psychologist, Clinical in Bloomfield, Connecticut

NPI Number1336246925
Practice location
34 Jerome Ave, Suite 301, Bloomfield, CT 06002-2463
Fax
860-242-1964
Last updated
December 26, 2024

Kevin J Connolly is a Psychologist, Clinical based in Bloomfield, CT. Kevin J Connolly practices in Bloomfield, CT and has the professional credentials of PHD. The NPI Number for Kevin J Connolly is 1336246925 and holds a License No. 001144 (CT). The current practice location address for Kevin J Connolly is 34 Jerome Ave, Suite 301, Bloomfield, CT 06002-2463 and can be reached out via phone at 860-242-3702 and via fax at 860-242-1964.

Provider Profile Details

NPI Number
1336246925
Provider Name
Kevin J Connolly
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
34 Jerome Ave, Suite 301, Bloomfield, CT 06002-2463
Phone Number
860-242-3702
Fax Number
860-242-1964
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 17, 2006
Last Update Date
December 26, 2024
Certification Date
December 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Jerome Ave
Suite 301
Bloomfield, CT 06002-2463
Zip
06002-2463
Phone Number
860-242-3702
Fax Number
860-242-1964
Bloomfield, CT 06002Get directions →

Provider Business Mailing Address Details

Address
34 Jerome Ave
Suite 301
Bloomfield, CT 06002-2463
City
Bloomfield
State
CT
Zip
06002-2463
Phone Number
860-242-3702
Fax Number
860-242-1964

License Information

License Number
001144
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kevin J Connolly, PHD?

The NPI number of Dr. Kevin J Connolly, PHD is 1336246925. It was assigned on September 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin J Connolly, PHD?

Dr. Kevin J Connolly, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 001144.

Where does Dr. Kevin J Connolly, PHD practice?

The practice location is 34 Jerome Ave, Suite 301, Bloomfield, CT 06002-2463. The office can be reached at 860-242-3702 (phone) or 860-242-1964 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336246925 directly on the NPPES registry website.

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