Kevin T. Cannon, PH.D.
Clinical Psychologist · Andover, MA
Kevin T. Cannon, PH.D. is a clinical psychologist with a practice address in Andover, Massachusetts, and NPI 1023509825, issued on May 29, 2018. Check the license (Massachusetts 11371, as entered in NPPES) with the Massachusetts board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kevin T. Cannon
- Credential
- PH.D.
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 11371 MA
Self-reported in NPPES; status is on the state search - Practice location
- 3 Dundee Park Dr Ste 203, Andover, MA 01810
- Phone
- (978) 655-2252
- Enumerated
- May 29, 2018
- Record last updated
- Feb 13, 2025
- Fax
- (978) 296-5594
- Medicare enrollment
- Enrolled (PECOS I20250327001473); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 3,185 in Massachusetts → Look up another NPI →
Also registered at 3 Dundee Park Dr Ste 203
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Olivia LeitzkeMental Health Counselor1215872577
- Janel Weiner, LICSWSocial Worker1609096932
Verify Kevin T. Cannon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
Search for license 11371Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Integrated Behavioral Care New England LLCNorth Andover, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kevin T. Cannon among 3,185 clinical psychologist records in Massachusetts
Kevin T. Cannon, PH.D. is one of 3,185 clinical psychologist records with a practice address in Massachusetts. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 81% of them.
- NPI issued2018 · 81% of these records are older, 14% newer
- In a Medicare fileYes · 12% of these records are
- In the CMS Doctors and Clinicians fileYes · 24% of these records are
- Graduated2019 · median 2000 among the 777 with a school on file
- Record last updated2025 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
24 clinical psychologist records list a practice address in Andover
They are 24 of the 807 NPPES records with a practice address in Andover, and 3,185 clinical psychologist records in Massachusetts.
All 3,185 in Massachusetts → Every provider in Andover → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Susan Bradley, PH.D.Andover, MA 018101821117458
- Jaclyn Devine, PSYDAndover, MA 018101932261237
- Gerald Dugal, EDDAndover, MA 018101104866326
- Susan FosterAndover, MA 018101013063262
- Joseph Harrington, PH.DAndover, MA 018101760504286
- Margaret Jackson, PHDAndover, MA 018101154599876
- Daniel Jacobs, PSY.D.Andover, MA 018101114961752
- Michael Levy, PH.D.Andover, MA 018101407934060
Common questions
What is Kevin T. Cannon, PH.D.'s NPI number?
Kevin T. Cannon, PH.D.'s National Provider Identifier (NPI) is 1023509825, issued on May 29, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Kevin T. Cannon, PH.D. located?
The NPPES record lists a practice address at 3 Dundee Park Dr Ste 203, Andover, MA, 01810. Phone: (978) 655-2252. Providers update this record themselves, so call before visiting.
How can I verify Kevin T. Cannon, PH.D.'s license?
NPPES lists Massachusetts license number 11371, as entered by the provider. Search the Massachusetts board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.