NPIMap

Organization Active NPI

Connolly Counseling

  • Psychologist
  • South Pasadena, CA
National Provider Identifier
1972872356
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
23835 Issued in CA
Legal business name
CONNOLLY COUNSELING
Practice address
1499 Huntington Dr Ste 301
South Pasadena, CA 91030-5446
Phone
(626) 768-1083
Fax
(626) 270-7002
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. Robert Leo Connolly Jr., PSY.D.NPI 1396042297
Title
Licensed Psychologist
Phone
(626) 768-1083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 23835 CA Primary

Addresses

Primary practice location

1499 Huntington Dr Ste 301
South Pasadena, CA 91030-5446

Mailing address

PO Box 1196
Suite 301
Claremont, CA 91711-1196
Phone (626) 768-1083

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1972872356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1196",
            "address_2": "SUITE 301",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111196",
            "telephone_number": "626-768-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 HUNTINGTON DR STE 301",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305446",
            "telephone_number": "626-768-1083",
            "fax_number": "626-270-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNOLLY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "626-768-1083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "23835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.