DR. KEVIN V CONNOLLY (PHD) – Psychologist, NPI 1407838758

DR. KEVIN V CONNOLLY (PHD) is a healthcare provider. based in Renton, Washington. specializing in Psychologist. They hold the professional credentials PHD. They hold a License No. PY00001058 (WA). The NPI Number for DR. KEVIN V CONNOLLY (PHD) is 1407838758

Main info

Male
Sole Proprietor
Name
DR. KEVIN V CONNOLLY (PHD)
NPI
1407838758
Phone
(425) 228-5336
Address
600 OAKESDALE AVE SW
Enumeration Date
14 November 2005
Last Update Date
15 December 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KEVIN V CONNOLLY (PHD)

  • 600, Oakesdale Avenue Southwest, Renton, King County, Washington, 98057, United States

    STE 104

    RENTON, WA 980575226

    Phone: (425) 228-5336

    Fax: (425) 228-4540

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98057)

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Reviews

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Frequently asked questions

How is DR. KEVIN V CONNOLLY (PHD) identified in CMS data?
CMS-hosted NPPES data lists DR. KEVIN V CONNOLLY (PHD) with NPI 1407838758.
Does the file indicate DR. KEVIN V CONNOLLY (PHD) is practicing under active NPI?
Directory data currently reports DR. KEVIN V CONNOLLY (PHD) as active.
What taxonomy line describes DR. KEVIN V CONNOLLY (PHD)?
For research purposes, treat DR. KEVIN V CONNOLLY (PHD) as Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEVIN V CONNOLLY (PHD)?
DR. KEVIN V CONNOLLY (PHD)'s geographic hint is Renton, Washington in our summary view.
Is the information about DR. KEVIN V CONNOLLY (PHD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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