Seamus Connolly, DO Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SEAMUS CONNOLLY, DO INC

Practice address

81880 Dr Carreon Blvd Ste B207
Indio, CA 92201-5585

Phone

(442) 324-0014

Fax

(442) 324-0016

NPI assigned

Jul 20, 2022

Last updated

Jul 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Seamus Connolly, DONPI 1932648599

Title

Ceo

Phone

(442) 324-0014

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seamus Lucien Connolly, DO

  • Psychiatry Physician
  • Indio, CA
  • NPI 1932648599
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1932834108",
    "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": {
        "organization_name": "SEAMUS CONNOLLY, DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "SEAMUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "442-324-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Indio, CA
• Providers in Indio, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.