DR. MARK ANDREW CONNELLY PHD
NPI 1407874753
Psychologist - Clinical Child & Adolescent in Kansas City, MO

Q: What is Mark Connelly's NPI number?

The NPI number for Mark Connelly is 1407874753. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Mark Connelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Mark Connelly was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment

2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000(816) 302-9939 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mark Andrew Connelly Phd NPPES

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

DR. MARK ANDREW CONNELLY PHD (NPI 1407874753) is an individual clinical child & adolescent provider in Kansas City, Missouri, licensed in Missouri (2006016149) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2004).

NPPES Registry Identity

NPI1407874753

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. MARK ANDREW CONNELLYCredential: PHD

Location Address2401 GILLHAM RDKansas City, MO 64108-4619

Mailing Address2401 Gillham Rd, Attn Provider Enrollment DeptKansas City, MO 64108-4619 · (816) 701-5200 · Fax (816) 302-9939

Phone(816) 234-3000

Fax(816) 302-9939

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2004

Enumeration DateJuly 17, 2006

Last NPPES UpdateDecember 22, 2025

NPPES CertifiedDecember 22, 2025

✔ NPI 1407874753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Licenses✔ Licensed in MO · 2006016149✔ Licensed in KS · LP1679

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

2401 GILLHAM RD, Kansas City, MO 64108

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Andrew Connelly Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961401344

PECOS Enrollment IDI20061212000656, I20141224000934

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

RYAN A ROMANS MD

Pediatrics (Pediatric Cardiology)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

JENNIFER BITNER MSN, APRN, FNP-C

Nurse Practitioner (Family)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (913) 234-3000

SAMIRA NAIME M.D.

Pediatrics (Sleep Medicine)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

MICHELLE RENEE MIDDLETON AU.D.

Audiologist

2401 GILLHAM RD, HEARING AND SPEECH CLINIC
KANSAS CITY, MO 64108

Jackson County (816) 960-4009

MADALYN NICOLE SINGLETON DO

Student in an Organized Health Care Education/Training Program

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

EMMA LYNNE WORLEY CAA

Anesthesiologist Assistant

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

DR. FAYTH WALBRIDGE PHD

Psychologist (Clinical)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (308) 655-0842

JAMES W. LOWE DDS

Dentist (Pediatric Dentistry)

2401 GILLHAM RD
KANSAS CITY, MO 64108

Jackson County (816) 234-3000

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 Mark Connelly's NPI number?

The NPI number for Mark Connelly is 1407874753. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Mark Connelly located?

Mark Connelly practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 234-3000.

What is Mark Connelly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Mark Connelly enrolled in Medicare?

Yes. Mark Connelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Connelly accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Medica list Mark Connelly 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 Mark Connelly was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.