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CANNON PSYCHOLOGICAL ASSOCIATES, PC
NPI 1447334198
Psychologist - Clinical in Clemson, SC

Active since October 25, 2006
1376 TIGER BLVD STE 210, CLEMSON, SC 29631(864) 654-7848(864) 654-5777 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 6, 2023, Jul 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Cannon Psychological Associates, Pc NPPES

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

CANNON PSYCHOLOGICAL ASSOCIATES, PC (NPI 1447334198) is a healthcare organization registered as a clinical in Clemson, South Carolina and active in the NPI registry since October 2006. The organization lists Elizabeth Tracy Goode, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1447334198
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCANNON PSYCHOLOGICAL ASSOCIATES, PC
Location Address1376 TIGER BLVD STE 210Clemson, SC 29631-2654
Mailing Address1376 Tiger Blvd Ste 210Clemson, SC 29631-2654 · (864) 654-7848 · Fax (864) 654-5777
Phone(864) 654-7848
Fax(864) 654-5777
Organization SubpartNo
Authorized OfficialElizabeth Tracy GoodeOffice Manager · (864) 654-7848
Enumeration DateOctober 25, 2006
Last NPPES UpdateSeptember 6, 20233 updates tracked since enumeration
✔ NPI 1447334198 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 SC · 349
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.

1376 TIGER BLVD STE 210, Clemson, SC 29631
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Other Identifiers 1

MedicaidPS0078SC

Group Practice 1

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 Cannon Psychological Associates, PC's NPI number?

The NPI number for Cannon Psychological Associates, PC is 1447334198. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Cannon Psychological Associates, PC located?

Cannon Psychological Associates, PC is located at 1376 Tiger Blvd Ste 210, Clemson, SC 29631. The listed phone number is (864) 654-7848.

What is Cannon Psychological Associates, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Cannon Psychological Associates, PC was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.