NPPES file of Aug 9, 2026

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.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1023509825
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
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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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.

  1. Martina Azar, PHDClinical Neuropsychologist1851176879
  2. Jillian Banco, PSYDStudent in an Organized Health Care Education/Training Program1265968895
  3. Diana CasadoMental Health Counselor1043025224
  4. Olivia LeitzkeMental Health Counselor1215872577
  5. Janel Weiner, LICSWSocial Worker1609096932

Verify Kevin T. Cannon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
    Search for license 11371
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Massachusetts license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. 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.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Susan Bradley, PH.D.Andover, MA 018101821117458
  2. Jaclyn Devine, PSYDAndover, MA 018101932261237
  3. Gerald Dugal, EDDAndover, MA 018101104866326
  4. Susan FosterAndover, MA 018101013063262
  5. Joseph Harrington, PH.DAndover, MA 018101760504286
  6. Margaret Jackson, PHDAndover, MA 018101154599876
  7. Daniel Jacobs, PSY.D.Andover, MA 018101114961752
  8. 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.