Mariel Smith Cannady, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37676 Issued in TX

Practice address

5339 N Interstate 35 Ste 100
Austin, TX 78723-2558

Phone

(512) 898-9044

NPI assigned

Sep 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mariel.cannady.1@8363.direct.athenahealth.com

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.

• Tri-County Clinical

  • Family Medicine Physician
  • Luling, TX
  • NPI 1336456227
  Medicare reassignment NPD
• Tri-County Clinical

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1588971477
  NPD
• Austin Connect to Wellness, LLC

  • Behavior Analyst
  • Austin, TX
  • NPI 1457784605
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1063921708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5339 N INTERSTATE 35 STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232558",
            "telephone_number": "804-928-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 N INTERSTATE 35 STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232558",
            "telephone_number": "512-898-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNADY",
        "first_name": "MARIEL",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Andrew Cangelosi, MSSW
• Matthew Tyler Canik
• Sharon Lou Canipe, LCSW
• Joel Canizales III, PHARMD
• Austin Cannaday, LPC
• Elizabeth Cannell, RDN
• Jennifer Cannizzaro, CRNP
• Brooke Cameron Cannon, M.S., CCC-SLP
• Chanler Cannon
• Elliotte Claire Cannon, MD

• Clinical Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.