Active NPIIndividual provider

Katie M Connor

Psychologist, Clinical in Jamaica Plain, Massachusetts

NPI Number1679145817
Practice location
150 S Huntington Ave, Jamaica Plain, MA 02130-4817
Fax
—
Last updated
April 9, 2025

Katie Marie Connor is a Psychologist, Clinical based in Jamaica Plain, MA. Katie Marie Connor practices in Jamaica Plain, MA. The NPI Number for Katie Marie Connor is 1679145817 and holds a License No. PSY10000495 (MA). The current practice location address for Katie Marie Connor is 150 S Huntington Ave, Jamaica Plain, MA 02130-4817 and can be reached out via phone at 774-467-6175.

Provider Profile Details

NPI Number
1679145817
Provider Name
Katie Marie Connor
Provider Entity Type
Individual
Gender
Female
Address
150 S Huntington Ave, Jamaica Plain, MA 02130-4817
Phone Number
774-467-6175
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
July 16, 2021
Last Update Date
April 9, 2025
Certification Date
April 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
Zip
02130-4817
Phone Number
774-467-6175
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
150 S Huntington Ave
Jamaica Plain, MA 02130-4817
City
Jamaica Plain
State
MA
Zip
02130-4817
Phone Number
774-467-6175

License Information

License Number (1)
PSY10000495
License State (1)
MA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
Taxonomy (2)
Psychologist · 103T00000X

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 Katie M Connor?

The NPI number of Katie M Connor is 1679145817. It was assigned on July 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Katie M Connor?

Katie M Connor is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number PSY10000495.

Where does Katie M Connor practice?

The practice location is 150 S Huntington Ave, Jamaica Plain, MA 02130-4817. The office can be reached at 774-467-6175 (phone).

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 1679145817 directly on the NPPES registry website.

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