Justine Cheri Connolly, PHD

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1347061 Issued in FL

Practice address

3961 Dream Oak PL Apt 202
Tampa, FL 33613-3388

Phone

(407) 883-3796

NPI assigned

Sep 8, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1427779347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 DREAM OAK PL APT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133388",
            "telephone_number": "407-883-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 DREAM OAK PL APT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133388",
            "telephone_number": "407-883-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "JUSTINE",
        "middle_name": "CHERI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "1347061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Conner, CRNA
• Michele S Conner, LMT
• Peter Conner, CRC
• Romeo Conner
• Tina S Conner, APRN-C
• Kaye H Connolly
• Kirby Nicole Connolly, PHARMD
• Carmen Beatriz Connor
• Latoya Michelle Connor, MSN, APRN, FNP-BC
• Alicia Conrad, ARNP

• School Psychologist in Tampa, FL
• Providers in Tampa, FL by specialty
• School Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.