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DR. KEVIN T CANNON PH.D.
NPI 1023509825
Psychologist - Clinical in Andover, MA

Active since May 29, 2018PECOS EnrolledAccepts Medicare Assignment
3 DUNDEE PARK DR STE 203, ANDOVER, MA 01810(978) 655-2252(978) 296-5594 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2025, Feb 17, 2023, Dec 15, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Kevin T Cannon Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN T CANNON PH.D. (NPI 1023509825) is an individual clinical provider in Andover, Massachusetts, licensed in Massachusetts (11371) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023509825
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KEVIN T CANNONCredential: PH.D.
Location Address3 DUNDEE PARK DR STE 203Andover, MA 01810-3723
Mailing Address5 Linden StHudson, NH 03051-4781 · (603) 438-3523
Phone(978) 655-2252
Fax(978) 296-5594
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 29, 2018
Last NPPES UpdateFebruary 13, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1023509825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 11371
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 11371 (MA)
3 DUNDEE PARK DR STE 203, Andover, MA 01810
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin T Cannon Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749703049
PECOS Enrollment IDI20250327001473
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01810 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA CASADO
Counselor (Mental Health)
3 DUNDEE PARK DR STE 203
ANDOVER, MA 01810
Essex County (978) 296-5595
OLIVIA LEITZKE
Counselor (Mental Health)
3 DUNDEE PARK DR STE 203
ANDOVER, MA 01810
Essex County (978) 416-0449
JILLIAN BANCO PSYD
Student in an Organized Health Care Education/Training Program
3 DUNDEE PARK DR STE 203
ANDOVER, MA 01810
Essex County (978) 296-5595
JANEL MARIE WEINER LICSW
Social Worker
3 DUNDEE PARK DR STE 203
ANDOVER, MA 01810
Essex County (978) 475-3590
DR. MARTINA AZAR PHD
Clinical Neuropsychologist
3 DUNDEE PARK DR STE 203
ANDOVER, MA 01810
Essex County (978) 296-5595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Cannon's NPI number?

The NPI number for Kevin Cannon is 1023509825. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Kevin Cannon located?

Kevin Cannon practices at 3 Dundee Park Dr Ste 203, Andover, MA 01810. The listed phone number is (978) 655-2252.

What is Kevin Cannon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kevin Cannon enrolled in Medicare?

Yes. Kevin Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Cannon accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Kevin Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Cannon was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.