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JOSEPH GANNON, PH.D. A PROFESSIONAL PSYCHOLOGY CORPORATION
NPI 1245277227
Psychologist - Cognitive & Behavioral in San Diego, CA

Active since May 31, 2006
4445 EASTGATE MALL PMB 843, SUITE 200, SAN DIEGO, CA 92121(858) 705-5439(858) 771-1078 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2022, Feb 12, 2021, Jan 22, 2019 (3 updates tracked since 2019).

About Joseph Gannon, Ph.d. A Professional Psychology Corporation NPPES

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

JOSEPH GANNON, PH.D. A PROFESSIONAL PSYCHOLOGY CORPORATION (NPI 1245277227) is a healthcare organization registered as a cognitive & behavioral in San Diego, California and active in the NPI registry since May 2006. The organization lists Joseph Patrick Gannon, President, as its authorized official.

NPPES Registry Identity

NPI1245277227
Entity TypeOrganization
Primary Taxonomy103TB0200X
Legal Business NameJOSEPH GANNON, PH.D. A PROFESSIONAL PSYCHOLOGY CORPORATION
Location Address4445 EASTGATE MALL PMB 843, SUITE 200San Diego, CA 92121-1979
Mailing Address4445 Eastgate Mall Pmb 843, Suite 200San Diego, CA 92121-1979 · (858) 705-5439 · Fax (858) 771-1078
Phone(858) 705-5439
Fax(858) 771-1078
Organization SubpartNo
Authorized OfficialJoseph Patrick GannonPresident · (858) 705-5439
Enumeration DateMay 31, 2006
Last NPPES UpdateAugust 28, 20243 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1245277227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY12034 (CA)
4445 EASTGATE MALL PMB 843, San Diego, CA 92121
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Other Identifiers 1

OtherOPL120340CA · Blue Shield Provider Iden

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Joseph Gannon, Ph.D. A Professional Psychology Corporation's NPI number?

The NPI number for Joseph Gannon, Ph.D. A Professional Psychology Corporation is 1245277227. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Joseph Gannon, Ph.D. A Professional Psychology Corporation located?

Joseph Gannon, Ph.D. A Professional Psychology Corporation is located at 4445 Eastgate Mall Pmb 843 Suite 200, San Diego, CA 92121. The listed phone number is (858) 705-5439.

What is Joseph Gannon, Ph.D. A Professional Psychology Corporation's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Joseph Gannon, Ph.D. A Professional Psychology Corporation was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.