DR. KEVIN MARK CONNOLLY PH.D.
NPI 1821229360
Psychologist - Clinical in Jackson, MS

Active since July 31, 2009
1500 E WOODROW WILSON AVE, (116A2), JACKSON, MS 39216(601) 362-4471 Get Directions Write a Review

NPPES record last updated: August 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin Mark Connolly Ph.d. NPPES

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

DR. KEVIN MARK CONNOLLY PH.D. (NPI 1821229360) is an individual clinical provider in Jackson, Mississippi, licensed in Mississippi (49845) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1821229360
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KEVIN MARK CONNOLLYCredential: PH.D.
Location Address1500 E WOODROW WILSON AVE, (116A2)Jackson, MS 39216-5116
Mailing Address1500 E Woodrow Wilson Ave, (116a2)Jackson, MS 39216-5116 · (601) 362-4471
Sole ProprietorNo
Enumeration DateJuly 31, 2009
Last NPPES UpdateAugust 19, 2013
NPI 1821229360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MS · 49845
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1500 E WOODROW WILSON AVE, Jackson, MS 39216

Accepted Insurance

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.

Registered Nurse
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychologist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Dietitian, Registered
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Chronic Disease Hospital
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Social Worker (Clinical)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216

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 1821229360. It was assigned to this individual provider in the NPPES registry on July 31, 2009.

Where is Kevin Connolly located?

Kevin Connolly practices at 1500 E Woodrow Wilson Ave (116a2), Jackson, MS 39216. The listed phone number is (601) 362-4471.

What is Kevin Connolly's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Kevin Connolly accept?

Health plans from Blue Cross and Blue Shield of Texas 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 August 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.