Individual provider Active NPI

John Nicholas Canzona, PSY.D.

  • Clinical Psychologist
  • Homewood, IL
National Provider Identifier
1427168491
Registry record updated Oct 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
18132 Martin Ave
Homewood, IL 60430-2106
Phone
(708) 957-3662
Fax
(708) 957-3695
NPI assigned
Aug 30, 2006
Last updated
Oct 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X IL Primary

Addresses

Primary practice location

18132 Martin Ave
Homewood, IL 60430-2106

Mailing address

18132 S. Martin
Homewood, IL 60430-2106
Phone (708) 957-3662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-003225ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Clinical Psychology & Substance Abuse PC Clinical PastSince Jan 1, 1992 Accepting new patients
Harvey Martin & Associates Inc. Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792281600000",
    "number": "1427168491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18132 S. MARTIN",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302106",
            "telephone_number": "708-957-3662",
            "fax_number": "708-957-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18132 MARTIN AVE",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302106",
            "telephone_number": "708-957-3662",
            "fax_number": "708-957-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANZONA",
        "first_name": "JOHN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2026; 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.