Active NPI
Eileen M Connolly, PHD
- Psychologist
- Newtown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS006100L
- Practice address
- 6 Penns Trail
Newtown, PA 18940 - Phone
- (215) 321-5780
- Fax
- (215) 321-8155
- NPI assigned
- Nov 9, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS006100L | PA | Primary |
Addresses
Primary practice location
6 Penns Trail
Newtown, PA 18940
Mailing address
660 Reservoir Road
West Chester, PA 19380
Phone (215) 595-4833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6 Dickinson Dr
Suite 107
Chadds Ford, PA 19317-9689
Phone (610) 361-9500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006100L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry Today Inc. | Current | Accepting new patients | |
| Prospect Health Access Network, Inc. | Past | Accepting new patients | |
| We Care BH LLC | Past | Accepting new patients | |
| Stephen C. Lower Psychology Associates | Psychologist | Past | Accepting new patients |
Locations
6 Dickinson Dr
Ste 107
Chadds Ford, PA 19317
Phone (610) 361-9500
Organizations & group practices 4
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.
-
dba Cognizant Behavioral Health Services
- Psychiatry Physician
- Chadds Ford, PA
- NPI 1891042651
-
- Gynecologic Oncology Physician
- Chester, PA
- NPI 1134574775
-
dba Psychology Associates
- Psychologist
- Yardley, PA
- NPI 1821144494
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Yardley, PA
- NPI 1679326896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063582542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 RESERVOIR ROAD",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "19380",
"telephone_number": "215-595-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PENNS TRAIL",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "18940",
"telephone_number": "215-321-5780",
"fax_number": "215-321-8155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "EILEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS006100L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, PA
- Comprehensive ABA
- Comprehensive Sports Care Specialists Inc
- Rosalia Felicia Conboy, MSPT
- Michelle Connerton, RBT
- Cynthia A. Connolly, M.A., NCC
- Constellation Hospice PA, LLC (Constellation Health Services)
- Caitlyn Coolidge, OTR/L
- Bridgett Lynn Coombs
- Christian Corcoran
- Core Perfection, LLC (Vivid Women's Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.