DR. PETER PAUL CANNAVA PH.D.
NPI 1508997867
Psychologist in Soldotna, AK

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
230 E MARYDALE AVE, SUITE 1, SOLDOTNA, AK 99669(907) 260-3691(907) 260-7301 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Paul Cannava Ph.d. NPPES

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

DR. PETER PAUL CANNAVA PH.D. (NPI 1508997867) is an individual psychologist in Soldotna, Alaska, licensed in Alaska (516) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1508997867
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. PETER PAUL CANNAVACredential: PH.D.
Location Address230 E MARYDALE AVE, SUITE 1Soldotna, AK 99669-7648
Mailing AddressPo Box 2949Soldotna, AK 99669-2949 · (907) 260-7300 · Fax (907) 260-7301
Fax(907) 260-7301
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 25, 2016
NPI 1508997867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in AK · 516
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
230 E MARYDALE AVE, Soldotna, AK 99669

Other Identifiers 6

Medicare PINK162666AK
Medicare OSCAR/certification021819AK
Other920177489Tin
MedicaidFH177FQAK
Medicare UPINFH177FQAK
MedicaidMH0156AK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter Paul Cannava Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193780088
PECOS Enrollment IDI20041119000510
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.

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.

Social Worker (Clinical)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Social Worker (Clinical)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Counselor (Mental Health)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Nurse Practitioner (Psychiatric/Mental Health)
230 E MARYDALE AVE, SUITE 2
SOLDOTNA, AK 99669
Community/Behavioral Health
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Psychologist (Clinical)
230 E MARYDALE AVE, SUITE 2
SOLDOTNA, AK 99669
Physical Therapist
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Counselor (Professional)
230 E MARYDALE AVE
SOLDOTNA, AK 99669

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 Peter Cannava's NPI number?

The NPI number for Peter Cannava is 1508997867. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Peter Cannava located?

Peter Cannava practices at 230 E Marydale Ave Suite 1, Soldotna, AK 99669. The listed phone number is (907) 260-3691.

What is Peter Cannava's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Peter Cannava enrolled in Medicare?

Yes. Peter Cannava is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Peter Cannava accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Peter Cannava as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Cannava was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.