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DR. JOSEPH PATRICK GANNON PH.D.
NPI 1467440347
Psychologist - Cognitive & Behavioral in San Diego, CA

Active since October 13, 2005
4445 EASTGATE MALL STE 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: July 26, 2026.

Record update history: Jul 30, 2022, Sep 14, 2021, Jan 22, 2019 (3 updates tracked since 2019).

About Dr. Joseph Patrick Gannon Ph.d. NPPES

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

DR. JOSEPH PATRICK GANNON PH.D. (NPI 1467440347) is an individual cognitive & behavioral provider in San Diego, California, licensed in California (PSY12034) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1467440347
Entity TypeIndividualMale
Primary Taxonomy103TB0200X
Provider Legal NameDR. JOSEPH PATRICK GANNONCredential: PH.D.
Location Address4445 EASTGATE MALL STE 200San Diego, CA 92121-1979
Mailing Address4445 Eastgate Mall Ste 200San Diego, CA 92121-1979 · (858) 705-5439 · Fax (858) 771-1078
Phone(858) 705-5439
Fax(858) 771-1078
Sole ProprietorNo
Enumeration DateOctober 13, 2005
Last NPPES UpdateAugust 28, 20243 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1467440347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in CA · PSY12034
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.
4445 EASTGATE MALL STE 200, San Diego, CA 92121
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Other Identifiers 1

OtherOPL120340CA · Blue Shield/blue Cross

Other Providers at the Same Location NPPES 18

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

ALANYA VAENE LEE PH.D.
Psychologist
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
San Diego County (858) 222-9060
CHRISTINE ROLLINS LMFT
Marriage & Family Therapist
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
San Diego County (866) 478-3978
KIMBERLY DIANE YOUNG
Marriage & Family Therapist
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
San Diego County (503) 625-0152
TONIA KIM TSE
Social Worker (Clinical)
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
San Diego County (866) 254-7243
DYNAMIS ABA INTERNATIONAL
Behavior Analyst
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
San Diego County (619) 363-3782
ALYSSA VALERIA MARTIN
Behavior Technician
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
San Diego County (619) 363-3782
MS. MARY WHITE LMFT
Marriage & Family Therapist
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
San Diego County (858) 254-7243
JOSEPH LEE MARCLE LMFT
Marriage & Family Therapist
4445 EASTGATE MALL STE 200
SAN DIEGO, CA 92121
San Diego County (866) 647-8397

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's NPI number?

The NPI number for Joseph Gannon is 1467440347. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Joseph Gannon located?

Joseph Gannon practices at 4445 Eastgate Mall Ste 200, San Diego, CA 92121. The listed phone number is (858) 705-5439.

What is Joseph Gannon'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 was last updated on August 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.