Nicole Connolly PH.D., Psychologist, a Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

NICOLE CONNOLLY PH.D., PSYCHOLOGIST, A PROFESSIONAL CORPORATION

Practice address

25050 Peachland Ave Ste 250
Newhall, CA 91321-5755

Phone

(661) 430-9300

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Connolly, PHDNPI 1245436369

Title

Ceo

Phone

(661) 430-9300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Phillips Connolly, PH.D.

  • Psychologist
  • Santa Clarita, CA
  • NPI 1245436369
  NPD Authorized official

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1659074623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29565 SEQUOIA RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913876243",
            "telephone_number": "310-613-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 PEACHLAND AVE STE 250",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215755",
            "telephone_number": "661-430-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE CONNOLLY PH.D., PSYCHOLOGIST, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-430-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Yu-Wei Ngan, DDS
• Elizabeth Nims
• Lauren Ellen Nivichanov
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• Anamarie Novoa
• Brian B. Novy, DDS

• Clinical Psychologist in Newhall, CA
• Providers in Newhall, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.