Karin Connelly PHD Psychology Coaching PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012496 Issued in NY

Legal business name

KARIN CONNELLY PHD PSYCHOLOGY COACHING PLLC

Practice address

1 Commons Dr
Lake Katrine, NY 12449-5149

Phone

(845) 750-0476

Fax

(845) 336-4014

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

Karin A Connelly, PHD

Title

Psychologist

Phone

(845) 750-0476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1265854996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMONS DR",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495149",
            "telephone_number": "845-750-0476",
            "fax_number": "845-336-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMONS DR",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495149",
            "telephone_number": "845-750-0476",
            "fax_number": "845-336-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIN CONNELLY PHD PSYCHOLOGY COACHING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "845-750-0476",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Janasiewicz, RN
• Michael E Jaworski, RPA-C
• Cathy Jaye Johnan
• Neeta Marie Kapila Ramesh
• Radhika Kapur, D.D.S.
• Taeyoung Kim, DDS
• Kingston NH Operation LLC (Ten Broeck Center for Rehabilitation & Nursing)
• Kenneth T Kircher, DO
• Jean M Kirtio, PHYSICAL THER. ASST
• Diana Klebanoff, LCSWR

• Clinical Psychologist in Lake Katrine, NY
• Providers in Lake Katrine, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.