Brittany Cannon, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY11451 Issued in FL

Practice address

6816 Southpoint Pkwy Ste 202
Jacksonville, FL 32216-1701

Phone

(904) 419-7792

NPI assigned

Apr 5, 2022

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Brittany Whipple Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Cannon Psychological LLC

  dba Cannon Psychological Services

  • Adolescent and Children Mental Health Clinic/Center
  • Jacksonville, FL
  • NPI 1134976061
  NPD Authorized official
• Beacon Pediatric Behavioral Health

  • Psychologist
  • Jacksonville, FL
  • NPI 1770838872
  NPD (past)

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1013658962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 ARGENTINA ST",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770401352",
            "telephone_number": "352-339-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 SOUTHPOINT PKWY STE 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161701",
            "telephone_number": "904-419-7792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12025 San Jose Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322231639",
            "country_code": "US",
            "telephone_number": "904-419-7792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "BRITTANY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY11451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "WHIPPLE",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew F Cannestra, MD
• Jennifer L. Cannestra, L.AC.
• Eva Helene Cannie, NICE HOME FURNISHED
• Cannon Psychological LLC (Cannon Psychological Services)
• Benjamin Seth Cannon
• Cheryl Cannon
• Christina Leigh Cannon, PMHNP
• Cynthia Seagle Cannon, LCSW
• Emily Kalbac Cannon, MD
• Jacquelyn Danette Cannon, ARNP

• Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.