Patrick Ignatius Connelly, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

SI003571 Issued in NJ

Practice address

85 Raritan Ave Ste 400
Highland Park, NJ 08904-2439

Phone

(732) 241-2154

Fax

(732) 339-9138

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• NJ Center for the Healing Arts, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Red Bank, NJ
  • NPI 1033270632
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659402691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GRAHAM ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042548",
            "telephone_number": "732-241-2154",
            "fax_number": "732-339-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 RARITAN AVE STE 400",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042439",
            "telephone_number": "732-241-2154",
            "fax_number": "732-339-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "PATRICK",
        "middle_name": "IGNATIUS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI003571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Ellen Cohen, LCSW
• Joseph Theodore Cohn, M.D.
• Collaborative Counseling Services, LLC
• Comgrace LLC
• Comgrace LLC
• Christina Contrastano, PSY.D.
• Annamaria N Convery, M.ED, BCBA
• Cornerstone Family Psychiatry
• Kayla Monroe Cosgrove, LSW
• Candice Covington-Thomas, JD, LCSW

• Clinical Psychologist in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.