IndividualActive
Charles Cancilla, PH.D.
NPI 1700546488 · Psychologist · Suwanee, GA
Charles Cancilla, PH.D. is a Psychologist provider in Suwanee, GA (NPI 1700546488).
Provider details
- NPI number
- 1700546488
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4473 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
897 Eva Kennedy Rd
Suwanee, GA 30024-1911
Phone: (404) 400-2547
Street-level locationGet directions
Mailing address
2345 Duncans Shore Dr
Buford, GA 30519-6222
Registry dates
- Enumerated
- 2021-12-22
- Last updated
- 2021-12-22
- Certified
- 2021-12-22
Frequently asked questions
- What is Charles Cancilla's NPI number?
- Charles Cancilla's National Provider Identifier (NPI) is 1700546488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Cancilla's specialty?
- Charles Cancilla is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Charles Cancilla located?
- Charles Cancilla's practice location on file with NPPES is 897 Eva Kennedy Rd, Suwanee, GA 30024-1911.
- What is Charles Cancilla's phone number?
- The practice phone number listed in the NPPES registry for Charles Cancilla is (404) 400-2547.
- Is Charles Cancilla's NPI active?
- Yes — Charles Cancilla's NPI (1700546488) is active in the NPPES registry as of the last update on 2021-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.