Christianne Sherilin Connelly, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1317 Issued in WV

Practice address

1445 Stewartstown Rd Ste 200
Morgantown, WV 26505-3868

Phone

(304) 598-2300

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Solbloom Mind & Wellness, PLLC

  • Health Service Psychologist
  • Morgantown, WV
  • NPI 1770375206

  Counseling

  Medicare reassignment NPD Authorized official
• Fremouw Sigley & Baker Psychological Associates PLLC

  • Clinical Psychologist
  • Morgantown, WV
  • NPI 1073754339
  Medicare reassignment NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1326761248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 STEWARTSTOWN RD STE 200",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053868",
            "telephone_number": "304-598-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 STEWARTSTOWN RD STE 200",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053868",
            "telephone_number": "304-598-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "CHRISTIANNE",
        "middle_name": "SHERILIN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WV",
            "license": "1317",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "WV",
            "license": "1317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Compton
• Aicha Conde
• Jacob M Conjeski, M.D.
• Alavia Conley
• Grace Connell
• Amelia Conner
• Derrick Guy Conner, FNP-C
• Mandy Conner
• Brian Daniel Connolly, D.O.
• Melinda Sue Connolly, NNP-BC

• Counseling Psychologist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Counseling Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.