Dr. Jessica Cannone Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR. JESSICA CANNONE PSYCHOLOGICAL SERVICES

Practice address

4 Foxglove CT
Holtsville, NY 11742-2518

Phone

(631) 275-8641

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Cannone, PSYDNPI 1619708864

Title

Clinical Psychologist/Owner

Phone

(631) 275-8641

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Cannone, PSY.D.

  • Psychologist
  • New Hyde Park, NY
  • NPI 1619708864
  Authorized official Same address or phone

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1346062783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FOXGLOVE CT",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422518",
            "telephone_number": "631-275-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FOXGLOVE CT",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422518",
            "telephone_number": "631-275-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JESSICA CANNONE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "CANNONE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "631-275-8641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Curran Davidson, AUD
• Christopher Dellaratta
• Megan Dibenedetto
• Tara Dilan
• Maureen Rita Doran
• Ryan James Duffy, ATC
• James Lamar Durand, LCSW-R
• Erika Duryea, LPN
• Dynamic Therapies LLC
• Early Interactions

• Clinical Psychologist in Holtsville, NY
• Providers in Holtsville, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.