DR. CANDIS MIAH CONNELL PSY.D.
NPI 1124556931
Psychologist in Tampa, FL

Active since May 24, 2017
13515 LAKE TERRACE LN, TAMPA, FL 33637(813) 919-9152 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2022, May 24, 2017 (2 updates tracked since 2017).

About Dr. Candis Miah Connell Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CANDIS MIAH CONNELL PSY.D. (NPI 1124556931) is an individual psychologist in Tampa, Florida, licensed in Virginia (0810005647) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1124556931
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CANDIS MIAH CONNELLCredential: PSY.D.
Location Address13515 LAKE TERRACE LNTampa, FL 33637-1003
Mailing Address13515 Lake Terrace LnTampa, FL 33637-1003 · (813) 919-9152
Sole ProprietorYes
Enumeration DateMay 24, 2017
Last NPPES UpdateFebruary 2, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
NPI 1124556931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in VA · 0810005647
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
13515 LAKE TERRACE LN, Tampa, FL 33637

Other Names 1

Former Name (1)Candis Cornell Psy.d

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
13515 LAKE TERRACE LN
TAMPA, FL 33637
Obstetrics & Gynecology (Obstetrics)
13515 LAKE TERRACE LN
TAMPA, FL 33637
Social Worker (Clinical)
13515 LAKE TERRACE LN
TAMPA, FL 33637
Nurse Practitioner (Family)
13515 LAKE TERRACE LN
TAMPA, FL 33637
Psychologist (Clinical)
13515 LAKE TERRACE LN
TAMPA, FL 33637
Psychologist
13515 LAKE TERRACE LN
TAMPA, FL 33637
Dietitian, Registered
13515 LAKE TERRACE LN
TAMPA, FL 33637
Dietitian, Registered
13515 LAKE TERRACE LN
TAMPA, FL 33637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candis Connell's NPI number?

The NPI number for Candis Connell is 1124556931. It was assigned to this individual provider in the NPPES registry on May 24, 2017. The provider is also known as Candis Cornell Psy.D.

Where is Candis Connell located?

Candis Connell practices at 13515 Lake Terrace Ln, Tampa, FL 33637. The listed phone number is (813) 919-9152.

What is Candis Connell's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Candis Connell was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.