Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CHRISTOPHER JOHN CANNON PHD
NPI 1396664355
Psychologist - Clinical in Detroit, MI

Q: What is Christopher Cannon's NPI number?

The NPI number for Christopher Cannon is 1396664355. It was assigned to this individual provider in the NPPES registry on July 14, 2026.

Q: What is Christopher Cannon's specialty?

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

Active since July 14, 2026

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2600 Get Directions Write a Review

NPPES record added: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 11, 2026, Jul 14, 2026 (2 updates tracked since 2026).

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About Christopher John Cannon Phd NPPES

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

CHRISTOPHER JOHN CANNON PHD (NPI 1396664355) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6351004848) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1396664355

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameCHRISTOPHER JOHN CANNONCredential: PHD

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (800) 436-7936

Phone(313) 916-2600

Sole ProprietorNo

Enumeration DateJuly 14, 2026

Last NPPES UpdateSeptember 11, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2026

✔ NPI 1396664355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6351004848

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.

2799 W GRAND BLVD, Detroit, MI 48202

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