Barbara J Cannizzo

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SP0000000985064 Issued in MI

Practice address

17131 Legacy Dr
West Olive, MI 49460-9244

Phone

(248) 687-6366

NPI assigned

Aug 16, 2022

Last updated

Aug 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Barbara J Gunger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1962120915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17131 LEGACY DR",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494609244",
            "telephone_number": "248-687-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17131 LEGACY DR",
            "city": "WEST OLIVE",
            "state": "MI",
            "postal_code": "494609244",
            "telephone_number": "248-687-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNIZZO",
        "first_name": "BARBARA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MI",
            "license": "SP0000000985064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "GUNGER",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Emily Lawson Berry, LMSW
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• Carly Ann Gilbert, FNP-C
• Glenys Del Mar Gonzalez

• School Psychologist in West Olive, MI
• Providers in West Olive, MI by specialty
• School Psychologist in Michigan

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

Verify at the official NPI Registry.