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ALICIA CANNON PH.D.
NPI 1316236326
Clinical Neuropsychologist in Baltimore, MD

Active since March 30, 2011PECOS Enrolled
1750 E FAIRMOUNT AVE, BALTIMORE, MD 21231(443) 923-4442(443) 923-4403 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alicia Cannon Ph.d. NPPES

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

ALICIA CANNON PH.D. (NPI 1316236326) is an individual clinical neuropsychologist in Baltimore, Maryland, licensed in Maryland (05106) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316236326
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameALICIA CANNONCredential: PH.D.
Location Address1750 E FAIRMOUNT AVEBaltimore, MD 21231-1534
Mailing Address1750 E Fairmount AveBaltimore, MD 21231-1534 · (443) 923-4442 · Fax (443) 923-4403
Phone(443) 923-4442
Fax(443) 923-4403
Sole ProprietorNo
Enumeration DateMarch 30, 2011
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1316236326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Licenses✔ Licensed in MD · 05106✔ Licensed in VA · 0810004365
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 05106 (MD), 0810004365 (VA)
1750 E FAIRMOUNT AVE, Baltimore, MD 21231
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Other Names 1

Former Name (1)Alicia Fields Ph.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Cannon Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Alicia Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kennedy Krieger Associates
Same address
Multi-Specialty
1750 E FAIRMOUNT AVE
Baltimore, MD 21231
  • Reassigned Medicare billing, Maryland enrollment
  • 352 clinicians in this Medicare group
NPI 1285432237 (443) 923-5900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

YVONNE CARUSO RN
Registered Nurse
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (443) 923-9100
NOOR QASMIEH
Student in an Organized Health Care Education/Training Program
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (410) 564-7111
RACHEL HARVEY CCC-SLP
Speech-Language Pathologist
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (443) 478-0706
KAITLIN GOULD
Student in an Organized Health Care Education/Training Program
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (449) 923-4500
DR. TANISHA E DRUMMOND PSY.D.
Psychologist
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (443) 923-9200
MADISON RAYE HOLMES
Clinical Neuropsychologist
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (433) 923-4500
RENEE ORLANDO
Speech-Language Pathologist
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (443) 923-9100
MRS. JENNIFER L PRITCHARD CCC-SLP
Speech-Language Pathologist
1750 E FAIRMOUNT AVE
BALTIMORE, MD 21231
Baltimore City (443) 923-9100

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 Alicia Cannon's NPI number?

The NPI number for Alicia Cannon is 1316236326. It was assigned to this individual provider in the NPPES registry on March 30, 2011. The provider is also known as Alicia Fields Ph.D..

Where is Alicia Cannon located?

Alicia Cannon practices at 1750 E Fairmount Ave, Baltimore, MD 21231. The listed phone number is (443) 923-4442.

What is Alicia Cannon's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Alicia Cannon enrolled in Medicare?

Yes. Alicia Cannon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alicia Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Cannon reassigns Medicare benefits to Kennedy Krieger Associates (Baltimore, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alicia Cannon was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.