NPI 1265545685 · live from the CMS NPI Registry
Michael Albert Connolly, RN
Registered Nurse, Psych/Mental Health, Adult in Scottsdale, AZ. National Provider Identifier 1265545685, active.
NPI record
| NPI | 1265545685 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 7575 E Earll Dr, Scottsdale, AZ 85251 |
| Practice phone | 480-941-7611 |
| Mailing address | 6423 E Encanto St, Mesa, AZ 85205 |
| Enumerated | August 17, 2006 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Addiction (Substance Use Disorder) | 163WA0400X | RN063569 (AZ) |
| Registered Nurse, Infection Control | 163WI0600X | RN063569 (AZ) |
| Registered Nurse, Psych/Mental Health, Child & Adolescent | 163WP0807X | RN063569 (AZ) |
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | RN063569 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.