Rebecca Connelly, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2489 Issued in CT

Practice address

285 Main Street
CS-HHC Whccs
West Haven, CT 06516-7307

Phone

(203) 503-3409

Fax

(203) 503-3431

NPI assigned

Dec 4, 2018

Last updated

May 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornell Scott Hill Health CorporationGroup PAC ID 3072418359, 261 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/ccaoh/r4/

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.

• Cornell Scott Hill Health Corporation

  • Federally Qualified Health Center (FQHC)
  • New Haven, CT
  • NPI 1902921380
  Medicare reassignment Care Compare group NPD
• Cornell Scott Hill Health Corporation

  dba West Haven Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • West Haven, CT
  • NPI 1841592466
  NPD
• Catholic Charities, Inc. - Archdiocese of Hartford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milford, CT
  • NPI 1124112347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1033689989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 COLUMBUS AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191233",
            "telephone_number": "203-503-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 MAIN STREET",
            "address_2": "CS-HHC WHCCS",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065167307",
            "telephone_number": "203-503-3409",
            "fax_number": "203-503-3431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 High St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064603250",
            "country_code": "US",
            "telephone_number": "203-874-6270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Lombard St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065132910",
            "country_code": "US",
            "telephone_number": "203-787-2207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "REBECCA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy# 00941)
• Connecticut Dental Associates PC
• Connecticut Health Care Inc (Seacrest Retirement Center)
• Connecticut Physical Therapy (Maloney Rehab)
• Connecticut Podiatry Group, P.C.
• Karen Marie Conners, APRN
• Melina Conrad, RDN
• Celena F. Conyers, DPT
• Joan Cook, PH.D.
• Danielle Cooper, APRN

• Marriage & Family Therapist in West Haven, CT
• Providers in West Haven, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.

Verify at the official NPI Registry.