Active NPI
Sharon S Cannon, PHD
- Clinical Psychologist
- Columbia, MD
National Provider Identifier
1689730087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04654
- Practice address
- 10630 Little Patuxent Pkwy Ste 313
Columbia, MD 21044-6216 - Phone
- (410) 988-2860
- Fax
- (410) 988-2024
- NPI assigned
- Dec 29, 2006
- Last updated
- Nov 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 318 | NE | |
| Clinical Psychologist | 103TC0700X | 04654 | MD | Primary |
Addresses
Primary practice location
10630 Little Patuxent Pkwy Ste 313
Columbia, MD 21044-6216
Mailing address
10630 Little Patuxent Pkwy Ste 313
Columbia, MD 21044-6216
Phone (410) 988-2860
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3144 | Other | MIDLANDS CHOICE | |
| 6135835 | Other | UNITED BEHAVIORAL HEALTH | |
| 8130 | Other | NE | BCBS |
Other names 1
- Sharon A Salkin
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1689730087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10630 LITTLE PATUXENT PKWY STE 313",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210446216",
"telephone_number": "410-988-2860",
"fax_number": "410-988-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10630 LITTLE PATUXENT PKWY STE 313",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210446216",
"telephone_number": "410-988-2860",
"fax_number": "410-988-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "SHARON",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "318",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "3144",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6135835",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8130",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "SALKIN",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.