Individual provider Active NPI

Andrew R Connery, ED.D.

  • Rehabilitation Psychologist
  • New Hampton, NH
National Provider Identifier
1902969512
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
629 Issued in NH
Practice address
648 Route 104
New Hampton, NH 03256
Phone
(603) 744-0344
Fax
(603) 744-0366
NPI assigned
Dec 18, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 629 NH
Cognitive & Behavioral Psychologist 103TB0200X 629 NH
Clinical Psychologist 103TC0700X 629 NH
Counseling Psychologist 103TC1900X 629 NH
Clinical Child & Adolescent Psychologist 103TC2200X 629 NH
Family Psychologist 103TF0000X 629 NH
Intellectual & Developmental Disabilities Psychologist 103TM1800X 629 NH
Rehabilitation Psychologist 103TR0400X 629 NH Primary
School Psychologist 103TS0200X 629 NH

Addresses

Primary practice location

648 Route 104
New Hampton, NH 03256

Mailing address

648 Route 104
New Hampton, NH 03256
Phone (603) 744-0344

Other identifiers 1

IdentifierTypeStateIssuer
30005194MedicaidNH

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

State licenses

LicenseStateTypeSpecialty
629NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1902969512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 ROUTE 104",
            "city": "NEW HAMPTON",
            "state": "NH",
            "postal_code": "03256",
            "telephone_number": "603-744-0344",
            "fax_number": "603-744-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 ROUTE 104",
            "city": "NEW HAMPTON",
            "state": "NH",
            "postal_code": "03256",
            "telephone_number": "603-744-0344",
            "fax_number": "603-744-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNERY",
        "first_name": "ANDREW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "629",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NH",
            "license": "629",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "629",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NH",
            "license": "629",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NH",
            "license": "629",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NH",
            "license": "629",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NH",
            "license": "629",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NH",
            "license": "629",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NH",
            "license": "629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005194",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hampton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.