Active NPI
Seamus Lucien Connolly, DO
- Psychiatry Physician
- Indio, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A16836
- Practice address
- 81880 Dr Carreon Blvd Ste B207
Indio, CA 92201-5585 - Phone
- (442) 324-0014
- Fax
- (442) 324-0016
- NPI assigned
- Feb 15, 2017
- Last updated
- Sep 13, 2023
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A16836 | CA | Primary |
Addresses
Primary practice location
81880 Dr Carreon Blvd Ste B207
Indio, CA 92201-5585
Mailing address
81880 Dr Carreon Blvd Ste B207
Indio, CA 92201-5585
Phone (442) 324-0014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A16836 | Other | CA | CALIFORNIA OSTEOPATHIC MEDICAL ASSOCIATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 323-8657
81880 Dr Carreon Blvd
Suite B207
Indio, CA 92201-5585
Phone (442) 324-0016
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16836 | CA | MD | Clinical Social Worker |
| 20A16836 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Medical Group, Inc. | Current | Accepting new patients | |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Psychicure PC | Psychiatry | Current | Accepting new patients |
| Karma TMS PC | Psychiatry | Current | Accepting new patients |
| Cep America - Psychiatry PC | Psychiatry | Current | Accepting new patients |
| Seamus Connolly, DO Inc | Psychiatry | Current | Accepting new patients |
Locations
1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400
81555 JFK Ct
Indio, CA 92201
Phone (442) 372-2300
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814
560 S Paseo Dorotea
Ste 4B
Palm Springs, CA 92264
Phone (951) 395-2321
2675 Pleasant Hill Rd
Pleasant Hill, CA 94523
Phone (510) 817-2113
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- seamuslucien.connolly.p2@direct.mydohc.nextgenshare.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Desert Oasis Healthcare Medical Group
- Family Medicine Physician
- Palm Springs, CA
- NPI 1114918612
-
- Psychiatry Physician
- Indio, CA
- NPI 1932834108
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- Psychiatry Physician
- Santa Maria, CA
- NPI 1538757232
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- Psychiatry Physician
- Pleasant Hill, CA
- NPI 1033088414
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- Psychiatry Physician
- Indio, CA
- NPI 1144195926
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- Psychiatry Physician
- Colton, CA
- NPI 1306408000
-
- Psychiatry Physician
- Palm Springs, CA
- NPI 1508504689
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- Psychiatry Physician
- Concord, CA
- NPI 1316802879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1932648599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81880 DR CARREON BLVD STE B207",
"city": "INDIO",
"state": "CA",
"postal_code": "922015585",
"telephone_number": "442-324-0014",
"fax_number": "442-324-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81880 DR CARREON BLVD STE B207",
"city": "INDIO",
"state": "CA",
"postal_code": "922015585",
"telephone_number": "442-324-0014",
"fax_number": "442-324-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "SEAMUS",
"middle_name": "LUCIEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-15",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "20A16836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA OSTEOPATHIC MEDICAL ASSOCIATION",
"identifier": "20A16836",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.