Active NPI
Jeremy Paul Connolly
- Rehabilitation Psychologist
- New Orleans, LA
National Provider Identifier
1700328432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- Practice address
- 200 S Broad St
Suite 7
New Orleans, LA 70119-6447 - Phone
- (504) 309-9991
- Fax
- (504) 309-9930
- NPI assigned
- Nov 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | Primary |
Addresses
Primary practice location
200 S Broad St
Suite 7
New Orleans, LA 70119-6447
Mailing address
1101 Napoleon Ave Apt E
New Orleans, LA 70115-2800
Phone (504) 598-6402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1700328432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 NAPOLEON AVE APT E",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701152800",
"telephone_number": "504-598-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S BROAD ST",
"address_2": "SUITE 7",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196447",
"telephone_number": "504-309-9991",
"fax_number": "504-309-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "JEREMY",
"middle_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-11",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.