Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacquelyn Connelly, PHD

Individual provider Clinical Psychologist · NPI 1720101256

Dr. Jacquelyn Connelly, PHD is a Clinical Psychologist in Plattsburgh, New York. Qualified in 1985, 41 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
41
Licensed in
NY
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

11 Hammond Ln Ste B
Plattsburgh, NY 12901-2003
Phone: (518) 565-3113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 008891 (NY)

Record details

NPI number1720101256
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address11 Hammond Ln, Suite B, Plattsburgh, NY 12901-2003

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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