Dr. Katie Elizabeth Connell, Ph.D.
Psychologist, Clinical in Westlake, OH. Individual provider (NPI-1).
NPI number1891912960
StatusActive
Last updated in NPPESNov 20, 2008
Details
- NPI
- 1891912960
- Entity type
- Individual (NPI-1)
- Name
- Dr. Katie Elizabeth Connell
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2007
- Last updated
- Nov 20, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 6502 | OH | Yes |
| 103T00000X | Psychologist | 6502 | OH | |
| 103TC0700X | Psychologist, Clinical | 4745 | MN | |
| 103TF0200X | Psychologist, Forensic | 4745 | MN | |
| 103TF0200X | Psychologist, Forensic | 6502 | OH |
Practice location
24500 Center Ridge RoadBuilding 4, Suite 100
Westlake, OH 44415-5602
Phone 440-899-1300
Mailing address
61 Riverside DrBerea, OH 44017-1978
Phone 507-202-2932
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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