Active NPI
Catherine Anne McConnell, PHD
- Psychologist
- Kenosha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2336
- Practice address
- 625 57TH St Ste 502
Kenosha, WI 53140-4146 - Phone
- (262) 419-2277
- Fax
- (920) 215-6164
- NPI assigned
- Jan 22, 2007
- Last updated
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2336 | WI | Primary |
| Clinical Psychologist | 103TC0700X | 071006290 | IL |
Addresses
Primary practice location
625 57TH St Ste 502
Kenosha, WI 53140-4146
Mailing address
325 N Commercial St
Neenah, WI 54956-2665
Phone (262) 419-2277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342856 | Other | IL | MHN |
| 7192312 | Other | IL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 57TH St
Suite 502
Kenosha, WI 53140-4146
Phone (262) 419-2277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LK Anderson Consulting LLC | Current | Accepting new patients | |
| Radiology Associates of the Fox Valley, SC | Past | Accepting new patients |
Locations
625 57th St
Ste 502
Kenosha, WI 53140
Phone (262) 419-2277
145 W Wisconsin Ave
Neenah, WI 54956
Phone (920) 212-6050
325 N Commercial St
Neenah, WI 54956
Phone (920) 722-1583
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Neenah, WI
- NPI 1215401468
-
- Diagnostic Radiology Physician
- Neenah, WI
- NPI 1477539443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1013061761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 N COMMERCIAL ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562665",
"telephone_number": "262-419-2277",
"fax_number": "920-215-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 57TH ST STE 502",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531404146",
"telephone_number": "262-419-2277",
"fax_number": "920-215-6164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "CATHERINE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2336",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071006290",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "342856",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7192312",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.