DR. MICHAEL SCOTT CONNOLLY M.D. NPI 1003014374

Psychiatry & Neurology - Psychiatry in Riverton, UT

Individual Male Psychiatry & Neurology Psychiatry PECOS Enrolled

About DR. MICHAEL SCOTT CONNOLLY M.D.

Michael Connolly is a provider established in Riverton, Utah and his medical specialization is Psychiatry & Neurology with a focus in psychiatry . The NPI number of Michael Connolly is 1003014374 and was assigned on July 2007. The practitioner's primary taxonomy code is 2084P0800X with license number 6150978-1205 (UT). The provider is registered as an individual and his NPI record was last updated 9 years ago.

A psychiatrist like Dr. Michael Scott Connolly M.d. are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

NPI

1003014374

Provider NameDR. MICHAEL SCOTT CONNOLLY M.D.
Provider Location Address12391 S 4000 W RIVERTON, UT 84096
Provider Mailing Address12391 S 4000 W RIVERTON, UT 84096
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date07-06-2007
Last Update Date05-13-2013



Michael Connolly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Michael Connolly is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code2084P0800X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationPsychiatry
License No.6150978-1205
License StateUT
Taxonomy DescriptionA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Business Address

DR. MICHAEL SCOTT CONNOLLY M.D.
12391 S 4000 W
RIVERTON, UT
ZIP 84096
Phone: (801) 302-1700
Fax: (801) 302-1714

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Mailing Address

DR. MICHAEL SCOTT CONNOLLY M.D.
12391 S 4000 W
RIVERTON, UT
ZIP 84096
Phone: (801) 302-1700
Fax: (801) 302-1714


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003014374
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003018314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 8 + 3 + 1 + 4 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1003014374 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841346756 CHRISTOPHER JESSE JOLLES M.D.
Individual
Obstetrics & Gynecology (Gynecologic Oncology)12391 S 4000 W STE 208
RIVERTON, UT 84096
(801) 302-5360
1003095506CHRISTOPHER J. JOLLES MD, PC
Organization
Specialist12391 S 4000 W STE 208
RIVERTON, UT 84096
(801) 302-5360
1063742492APEX FAMILY & COSMETIC DENTISTRY
Organization
Dentist (General Practice)12391 S 4000 W SUITE 206
RIVERTON, UT 84096
(801) 748-0379
1134151384 CHRISTOPHER V HUTCHISON MD
Individual
Obstetrics & Gynecology12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1750
1881797876GRANGER MEDICAL CLINIC INC
Organization
Clinic/Center (Multi-Specialty)12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1700
1003029935DR. MONICA CHILD WONNACOTT M.D.
Individual
Pediatrics12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1700
1730389297 TRICIA ANNE TWELVES M.D.
Individual
Obstetrics & Gynecology12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1750
1649455403DR. DANIEL TODD RICHARDS D.O.
Individual
Orthopaedic Surgery (Sports Medicine)12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1700
1538321237DR. JEREMY PAUL GERRITSEN O.D.
Individual
Optometrist12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1700
1225446263APEX DENTAL DRAPER LLC
Organization
Dentist (General Practice)12391 S 4000 W SUITE 206
RIVERTON, UT 84096
(801) 748-0379
1326436007 MIKE BLACK DPT
Individual
Physical Therapist12391 S 4000 W #210
RIVERTON, UT 84096
(801) 446-0990
1801121108 CARLY RAE DAVIS M.D.
Individual
Pediatrics12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1700
1386825024DR. CRAIG ALAN COLEBY M.D.
Individual
Internal Medicine12391 S 4000 W SUITE 100
RIVERTON, UT 84096
(801) 302-1700
1659388791 WILLIAM DEREK BOAM MD
Individual
Family Medicine12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1700
1649755349 JOSHUA STREETER DNP, AGNP-C
Individual
Nurse Practitioner (Adult Health)12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1700
1265403463DR. WILLIAM BENJAMIN WARNER M.D.
Individual
Obstetrics & Gynecology (Female Pelvic Medicine and Reconstructive Surgery)12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1700
1467735621 BRANDON JAMES HANSEN PA-C
Individual
Physician Assistant12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1700
1124670872 NECIA DALLEY DNP
Individual
Nurse Practitioner12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1750
1235464413UTAH GASTROENTEROLOGY LLC
Organization
Internal Medicine (Gastroenterology)12391 S 4000 W
RIVERTON, UT 84096
(801) 727-4280
1730788761 ELIZABETH ELOUISE WILLMORE FNP
Individual
Nurse Practitioner (Family)12391 S 4000 W
RIVERTON, UT 84096
(801) 302-1700

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Michael Scott Connolly M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.