Kevin Cannon, PH.D.
NPI 1023509825 · Clinical Psychologist · Andover, MA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Cannon, PH.D. is a Clinical Psychologist provider in Andover, MA (NPI 1023509825).
Provider details
- NPI number
- 1023509825
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 11371 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 10 Federal St Ste 307Salem, MA 01970-3860Phone: (617) 758-8485
- 39 Simon St Ste 5Nashua, NH 03060-3045Phone: (603) 889-8648
Registry dates
- Enumerated
- 2018-05-29
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Frequently asked questions
- What is Kevin Cannon's NPI number?
- Kevin Cannon's National Provider Identifier (NPI) is 1023509825, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Cannon's specialty?
- Kevin Cannon is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kevin Cannon located?
- Kevin Cannon's practice location on file with NPPES is 3 Dundee Park Dr Ste 203, Andover, MA 01810-3723.
- What is Kevin Cannon's phone number?
- The practice phone number listed in the NPPES registry for Kevin Cannon is (978) 655-2252.
- Does Kevin Cannon accept Medicare?
- Kevin Cannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Cannon's NPI active?
- Yes — Kevin Cannon's NPI (1023509825) is active in the NPPES registry as of the last update on 2025-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.