Active NPI
Jo-Ann M. Cannon, PH.D.
- Clinical Psychologist
- Turnersville, NJ
National Provider Identifier
1154513828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2866
- Practice address
- 4551 Route 42
Ste 4
Turnersville, NJ 08012-1751 - Phone
- (856) 728-7626
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2866 | NJ | Primary |
Addresses
Primary practice location
4551 Route 42
Ste 4
Turnersville, NJ 08012-1751
Mailing address
5 Dressage Dr
Sewell, NJ 08080-2436
Phone (856) 589-4370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031106000225 | NJ | Practitioner - Clinical Psychologist | 3779496831 | Practice locations: Sewell, NJ; Turnersville, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4551 Route 42 4
Turnersville, NJ 08012
Phone (856) 728-7626
5 Dressage Dr
Sewell, NJ 08080-2436
Phone (856) 693-1622
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2866 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1154513828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DRESSAGE DR",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080802436",
"telephone_number": "856-589-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4551 ROUTE 42",
"address_2": "STE 4",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080121751",
"telephone_number": "856-728-7626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "JO-ANN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "2866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Turnersville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.