DR. KEVIN V CONNOLLY PHD
NPI 1407838758
Psychologist in Renton, WA

Active since November 14, 2005
600 OAKESDALE AVE SW, STE 104, RENTON, WA 98057(425) 228-5336(425) 228-4540 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin V Connolly Phd NPPES

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

DR. KEVIN V CONNOLLY PHD (NPI 1407838758) is an individual psychologist in Renton, Washington, licensed in Washington (PY00001058) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1407838758
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. KEVIN V CONNOLLYCredential: PHD
Location Address600 OAKESDALE AVE SW, STE 104Renton, WA 98057-5226
Mailing Address600 Oakesdale Ave Sw, Ste 104Renton, WA 98057-5226 · (425) 228-5336 · Fax (425) 228-4540
Fax(425) 228-4540
Sole ProprietorYes
Enumeration DateNovember 14, 2005
Last NPPES UpdateDecember 15, 2015
NPI 1407838758 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 WA · PY00001058
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.
600 OAKESDALE AVE SW, Renton, WA 98057

Other Identifiers 1

Medicaid000106440WA

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Psychiatry & Neurology (Psychiatry)
600 OAKESDALE AVE SW, #104
RENTON, WA 98057
Counselor
600 OAKESDALE AVE SW, 104
RENTON, WA 98057
Counselor (Mental Health)
600 OAKESDALE AVE SW, SUITE 104
RENTON, WA 98057
Psychologist (Clinical)
600 OAKESDALE AVE SW, SUITE #104
RENTON, WA 98057
Counselor (Mental Health)
600 OAKESDALE AVE SW, STE 104
RENTON, WA 98057
Counselor (Mental Health)
600 OAKESDALE AVE SW, SUITE 104
RENTON, WA 98057
Psychologist
600 OAKESDALE AVE SW, STE 104
RENTON, WA 98057
Nurse Practitioner (Psychiatric/Mental Health)
600 OAKESDALE AVE SW, SUITE 104
RENTON, WA 98057

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 Kevin Connolly's NPI number?

The NPI number for Kevin Connolly is 1407838758. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Kevin Connolly located?

Kevin Connolly practices at 600 Oakesdale Ave SW Ste 104, Renton, WA 98057. The listed phone number is (425) 228-5336.

What is Kevin Connolly's specialty?

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

What insurance does Kevin Connolly accept?

Health plans from PacificSource Health Plans list Kevin Connolly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Connolly was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.