Stacie Cannell

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

Practice address

5151 Monroe St Ste 232
Toledo, OH 43623-3461

Phone

(419) 574-9290

Fax

(248) 712-4381

NPI assigned

Sep 1, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family First Center for Autism and Child Development, Inc.

  • Clinical Child & Adolescent Psychologist
  • Kansas City, MO
  • NPI 1154626893
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1003420639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 232",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233461",
            "telephone_number": "419-574-9290",
            "fax_number": "248-712-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 232",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233461",
            "telephone_number": "419-574-9290",
            "fax_number": "248-712-4381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1719 Metropolitan Ave",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660481124",
            "country_code": "US",
            "telephone_number": "913-250-5634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNELL",
        "first_name": "STACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Marie Canacci, M.D.
• Kirsten Cancelli, OTA/L
• Marci R Cancic, DPT
• Domenic Joseph Cancilla, PMHNP-BC
• Debra Jeanne Cannatti, FNP-BC
• Bonni Rochelle Cannon
• Elizabeth Ann Cannon, INDEPENDENT PROVIDER
• Emily Cannon, MD
• Jennifer Lynn Cannon
• Pamela Cannon

• Technician/Technologist in Toledo, OH
• Providers in Toledo, OH by specialty
• Technician/Technologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.