Individual provider Active NPI

Abigail A Connolly, LP

  • Psychologist
  • New York, NY
National Provider Identifier
1194099952
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
019912 Issued in NY
Practice address
1501 Broadway Ste 1505
New York, NY 10036-5521
Phone
(332) 245-0300
NPI assigned
Feb 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 019912 NY Primary

Addresses

Primary practice location

1501 Broadway Ste 1505
New York, NY 10036-5521

Mailing address

1501 Broadway Ste 1505
New York, NY 10036-5521
Phone (332) 245-0300

Other names 1

  • Dr. Abigail A Connolly Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20260116000382 NY Practitioner - Clinical Psychologist 1658647797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019912NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Psychologist CurrentSince Jan 5, 2026 Accepting new patients
Comprehensive Consultation Psychological Services, P.C. Psychologist Past Accepting new patients
Liakeas Medical PC PastSince Nov 3, 2024 Accepting new patients

Locations

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

1501 Broadway
Ste 1505
New York, NY 10036
Phone (332) 245-0300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1194099952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BROADWAY STE 1505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100365521",
            "telephone_number": "332-245-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BROADWAY STE 1505",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100365521",
            "telephone_number": "332-245-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "ABIGAIL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-26",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "CONNOLLY",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "LP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.