JOHN JACOB CANNELL MD
NPI 1114979374
Psychiatry & Neurology - Psychiatry in San Luis Obispo, CA

Active since May 16, 2006
1411 MARSH ST STE 203, SAN LUIS OBISPO, CA 93401(805) 439-2569(805) 439-1073 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Jacob Cannell Md NPPES

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

JOHN JACOB CANNELL MD (NPI 1114979374) is an individual psychiatry provider in San Luis Obispo, California, licensed in California (C37547) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1114979374
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOHN JACOB CANNELLCredential: MD
Location Address1411 MARSH ST STE 203San Luis Obispo, CA 93401-2968
Mailing Address1411 Marsh St Ste 203San Luis Obispo, CA 93401-2968 · (805) 439-2569 · Fax (805) 439-1073
Fax(805) 439-1073
Sole ProprietorYes
Enumeration DateMay 16, 2006
Last NPPES UpdateJanuary 17, 2014
NPI 1114979374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · C37547
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1411 MARSH ST STE 203, San Luis Obispo, CA 93401

Other Identifiers 2

Medicare ID-Type Unspecified00C375470
Medicare UPINA72072

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 John Cannell's NPI number?

The NPI number for John Cannell is 1114979374. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is John Cannell located?

John Cannell practices at 1411 Marsh St Ste 203, San Luis Obispo, CA 93401. The listed phone number is (805) 439-2569.

What is John Cannell's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for John Cannell was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.