MR. MARK CANNIZZARO PHD
NPI 1144373812
Psychologist in Lansing, MI

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
120 N WASHINGTON SQ STE 300, LANSING, MI 48933(734) 210-1854(517) 627-1289 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Mark Cannizzaro Phd NPPES

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

MR. MARK CANNIZZARO PHD (NPI 1144373812) is an individual psychologist in Lansing, Michigan, licensed in Michigan (6301012725) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1144373812
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. MARK CANNIZZAROCredential: PHD
Location Address120 N WASHINGTON SQ STE 300Lansing, MI 48933-1658
Mailing Address120 N Washington Sq Ste 300Lansing, MI 48933-1658 · (734) 210-1854 · Fax (517) 627-1289
Fax(517) 627-1289
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
NPI 1144373812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301012725
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

120 N WASHINGTON SQ STE 300, Lansing, MI 48933

Accepted 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

Mr. Mark Cannizzaro Phd 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 ID1153306014
PECOS Enrollment IDI20051024000509
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.

Other Providers at the Same Location NPPES 9

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

Behavior Technician
120 N WASHINGTON SQ STE 300
LANSING, MI 48933
Behavior Technician
120 N WASHINGTON SQ STE 300
LANSING, MI 48933
Behavior Technician
120 N WASHINGTON SQ STE 300
LANSING, MI 48933
Behavior Technician
120 N WASHINGTON SQ STE 300
LANSING, MI 48933
Family Medicine
120 N WASHINGTON SQ STE 300
LANSING, MI 48933
Dental Hygienist
120 N WASHINGTON SQ STE 300
LANSING, MI 48933
In Home Supportive Care
120 N WASHINGTON SQ STE 300
LANSING, MI 48933
Dental Hygienist
120 N WASHINGTON SQ STE 300
LANSING, MI 48933

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 Mark Cannizzaro's NPI number?

The NPI number for Mark Cannizzaro is 1144373812. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Mark Cannizzaro located?

Mark Cannizzaro practices at 120 N Washington Sq Ste 300, Lansing, MI 48933. The listed phone number is (734) 210-1854.

What is Mark Cannizzaro's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mark Cannizzaro enrolled in Medicare?

Yes. Mark Cannizzaro 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 Mark Cannizzaro accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Mark Cannizzaro 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 Mark Cannizzaro was last updated on March 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.