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Ms. Jill Cannon

Psychologist Family Psychologist Clinical Psychologist Forensic Psychologist and 3 more

130 Allison Rd
Katonah , New York 10536-3430

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Psychologist
  • Addiction Psychologist (Substance Use Disorder)
  • Clinical Psychologist
  • Family Psychologist
  • Forensic Psychologist
  • Group Psychotherapist
  • Clinical Social Worker

Languages spoken

  • English

Location

130 Allison Rd Katonah , New York 10536-3430

First Address

  • Ms. Jill Cannon
  • 130 Allison Rd
  • Katonah, NY
  • Zip : 10536-3430
  • Fax : (914) 401-9009
  • Phone : (914) 401-9010

Second Address

  • Ms. Jill Cannon
  • 130 Allison Rd
  • Katonah, NY
  • Zip : 10536-3430
  • Fax : (914) 401-9009
  • Phone : (914) 401-9010

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FAQs


Where did Ms. Jill Cannon attend graduate school?

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Where did Ms. Jill Cannon do her residency?

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Where did Ms. Jill Cannon do her fellowship?

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Is Ms. Jill Cannon board certified?

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What type of doctor is Ms. Jill Cannon

Clinical Social Worker

In what state does Ms. Jill Cannon practice in?

New York

Where is Ms. Jill Cannon ’s practice located?

130 Allison Rd , Katonah, New York, 10536-3430

What is Ms. Jill Cannon ’s gender?

Female

Is Ms. Jill Cannon a sole practitioner?

No

Is Ms. Jill Cannon accepting new patients?

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What languages does Ms. Jill Cannon speak?

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Does Ms. Jill Cannon accept insurance?

Yes, Ms. Jill Cannon accepts insurance

Does Ms. Jill Cannon offers telemedicine?

Ms. Jill Cannon has not indicated if she offers telemedicine

What is Ms. Jill Cannon ’s professional license number?

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What is Ms. Jill Cannon ’s NPI number?

1225003379

Does Ms. Jill Cannon have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 102L00000X Psychologist R#019571 NY
N 103T00000X Psychologist R#019571 NY
N 103TA0400X Addiction Psychologist (Substance Use Disorder) 0190571 NY
N 103G00000X Clinical Psychologist 0190571 NY
N 103TC0700X Clinical Psychologist 0190571 NY
N 103TF0000X Family Psychologist 0190571 NY
N 103TF0200X Forensic Psychologist 0190571 NY
N 103TP2701X Group Psychotherapist 019571 NY
Y 1041C0700X Clinical Social Worker 0190571 NY

National Provider Identifier

NPI 1225003379
Provider Name Ms. Jill Cannon
First Address Katonah, NY 10536-3430
Second Address Katonah, NY 10536-3430
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 22/02/2006
Last Update Date 23/10/2009

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
135497 VALUE OPTIONS (01)
140019057NY01 ANTHEM (01)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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