BRYAN EDWARD CONNELL PHD
NPI 1891787255
Psychologist in Charlotte, NC

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
3020 PROSPERITY CHURCH RD, STE J, CHARLOTTE, NC 28269(704) 641-0273(704) 625-9182 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan Edward Connell Phd NPPES

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

BRYAN EDWARD CONNELL PHD (NPI 1891787255) is an individual psychologist in Charlotte, North Carolina, licensed in North Carolina (1681) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1891787255
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBRYAN EDWARD CONNELLCredential: PHD
Location Address3020 PROSPERITY CHURCH RD, STE JCharlotte, NC 28269-8100
Mailing Address3020 Prosperity Church Rd, Ste JCharlotte, NC 28269-8100 · (704) 641-0273 · Fax (704) 625-9182
Fax(704) 625-9182
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 22, 2005
Last NPPES UpdateJune 25, 2018
NPI 1891787255 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 NC · 1681
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.
3020 PROSPERITY CHURCH RD, Charlotte, NC 28269

Other Identifiers 3

Other61-00069Evercare
Medicaid6000586NC
Other0486JNC · Bcbsnc

Accepted 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

Bryan Edward Connell 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 ID4486639556
PECOS Enrollment IDI20040622001334
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
120 services18 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
103 services16 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
67 services13 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
15 services15 patients

Other Providers at the Same Location NPPES 3

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

Driver
3020 PROSPERITY CHURCH RD, SUITE 187
CHARLOTTE, NC 28269
Family Medicine
3020 PROSPERITY CHURCH RD
CHARLOTTE, NC 28269
Nursing Facility/Intermediate Care Facility
3020 PROSPERITY CHURCH RD, UNIT 178
CHARLOTTE, NC 28269

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 Bryan Connell's NPI number?

The NPI number for Bryan Connell is 1891787255. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Bryan Connell located?

Bryan Connell practices at 3020 Prosperity Church Rd Ste J, Charlotte, NC 28269. The listed phone number is (704) 641-0273.

What is Bryan Connell's specialty?

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

Is Bryan Connell enrolled in Medicare?

Yes. Bryan Connell 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 Bryan Connell accept?

Health plans from Blue Cross and Blue Shield of NC list Bryan Connell 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 Bryan Connell was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.