Kathleen Marie Connolly, M.ED, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1493 Cambridge St
Cambridge, MA 02139-1047

Phone

(617) 661-5700

NPI assigned

Jun 10, 2017

Sex

Female

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)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497052800000",
    "number": "1669901880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BASSETT ST",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501503",
            "telephone_number": "617-889-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 CAMBRIDGE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391047",
            "telephone_number": "617-661-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "M.ED, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-10",
        "last_updated": "2017-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Conley, M.ED.
• Meghan Rose Conlin
• Caryn Connarton, MSPT
• Eva Connelly
• Caitlin M. Connolly, M.D.
• James Francis Connor, M.D.
• Cara Alexandra Connors, WHNP-BC
• Amy W Conrad, M.D.
• David Michael Conrad, LMT
• Nicole Nelson Conroy, PA-C

• Addiction (Substance Use Disorder) Counselor in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2017; 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.