DR. KEVIN V CONNOLLY PHD
NPI 1407838758
Psychologist in Renton, WA
NPI Status: Active since November 14, 2005
Contact Information
600 OAKESDALE AVE SW
STE 104
RENTON, WA
ZIP 98057
Phone: (425) 228-5336
Fax: (425) 228-4540
- Individual
- Male
- Psychologist
- Accepts Insurance
- PECOS Enrolled
About KEVIN CONNOLLY
This page provides the complete NPI Profile along with additional information for Kevin Connolly, a provider established in Renton, Washington with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1407838758 assigned on November 2005. The practitioner's primary taxonomy code is 103T00000X with license number PY00001058 (WA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1407838758
- Provider Name
- DR. KEVIN V CONNOLLY PHD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 600 OAKESDALE AVE SW STE 104 RENTON, WA 98057
- Location Phone
- (425) 228-5336
- Location Fax
- (425) 228-4540
- Mailing Address
- 600 OAKESDALE AVE SW STE 104 RENTON, WA 98057
- Mailing Phone
- (425) 228-5336
- Mailing Fax
- (425) 228-4540
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-14-2005
- Last Update Date
- 12-15-2015
- Code Navigator
A psychologist like Kevin Connolly studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PY00001058
- License State
- WA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000106440 | MEDICAID (05) | WA |
Medicare Participation & PECOS Enrollment Status
Kevin 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: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. KEVIN V CONNOLLY PHD
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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. | |||||||||
| 1 | 4 | 0 | 7 | 8 | 3 | 8 | 7 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 16 | 3 | 16 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 1 + 6 + 3 + 1 + 6 + 7 + 1 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1407838758 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
DR. PATRICIA JANE BARNES MD
Psychiatry & Neurology
(Psychiatry)
600 OAKESDALE AVE SW
#104
RENTON, WA
ZIP 98057
DR. CATHI A KORTH PSY.D.
Psychologist
(Clinical)
600 OAKESDALE AVE SW
SUITE #104
RENTON, WA
ZIP 98057
MRS. DHARAMUNI PHALA CHEA LICSW
Counselor
(Mental Health)
600 OAKESDALE AVE SW
SUITE 104
RENTON, WA
ZIP 98057
ANDREA DAVIS LMHC
Counselor
600 OAKESDALE AVE SW
104
RENTON, WA
ZIP 98057
MRS. JESSICA LYNN ROSS A.R.N.P.
Nurse Practitioner
(Psychiatric/Mental Health)
600 OAKESDALE AVE SW
SUITE 104
RENTON, WA
ZIP 98057
MAMI OGASAWARA-WHITEHEAD MA, LMHC
Counselor
(Mental Health)
600 OAKESDALE AVE SW
STE 104
RENTON, WA
ZIP 98057
RIVER VALLEY PSYCHOLOGICAL SERVICES
Psychologist
600 OAKESDALE AVE SW
STE 104
RENTON, WA
ZIP 98057
HANNAH ALLEN MHP, LMHC
Counselor
(Mental Health)
600 OAKESDALE AVE SW
RENTON, WA
ZIP 98057
EVGENIA KAPLAN MORGENSTERN M.S., LMHC
Counselor
(Mental Health)
600 OAKESDALE AVE SW
SUITE 104
RENTON, WA
ZIP 98057
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407838758, enumerated as an "individual" on November 14, 2005.
The provider is located at 600 OAKESDALE AVE SW STE 104 RENTON, WA 98057 and the phone number is (425) 228-5336.
Psychologist with taxonomy code 103T00000X.
The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
