Brian Canning, PHD
Individual provider Active NPI Clinical Psychologist · Leeds, MA
NPI 1649091992 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1649091992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY10000659 (MA)
- Practice address
- 421 N Main St BLDG 1
Leeds, MA 01053-9764 - Phone
- (413) 247-4723
- NPI assigned
- Oct 21, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10000659 | MA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Counseling Psychologist | 103TC1900X | |||
| Health Psychologist | 103TH0004X | |||
| Health Service Psychologist | 103TH0100X | |||
| Clinical Psychologist | 103TC0700X | PSY10000659 | MA | Yes |
| Clinical Neuropsychologist | 103G00000X |
Addresses
Primary practice location
421 N Main St BLDG 1
Leeds, MA 01053-9764
Mailing address
421 N Main St BLDG 1
Leeds, MA 01053-9764
Phone (413) 247-4723
Other providers in Leeds, MA
- Caitlin Rose Budrewicz
- Sarah Burnham
- Deana Byrd
- Cara Elizabeth Caminiti
- Sabina Camponogara
- Linda T Carboni
- Tracy J Carroll
- Kelly Challet
- Maureen Patricia Chapman
- Matthew J Charette
All providers in Leeds, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.