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DEBRA CANNON
NPI 1538756283
Counselor - Addiction (Substance Use Disorder) in New Haven, CT

Active since December 29, 2020PECOS Enrolled
1580 CHAPEL ST, NEW HAVEN, CT 06511(203) 908-8978 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Debra Cannon NPPES

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

DEBRA CANNON (NPI 1538756283) is an individual addiction (substance use disorder) provider in New Haven, Connecticut, licensed in Connecticut (001391) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538756283
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDEBRA CANNON
Location Address1580 CHAPEL STNew Haven, CT 06511-4205
Mailing Address33 Tierney RdHamden, CT 06514-4206
Phone(203) 908-8978
Sole ProprietorNo
Enumeration DateDecember 29, 2020
NPPES CertifiedDecember 29, 2020
✔ NPI 1538756283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CT · 001391
1580 CHAPEL ST, New Haven, CT 06511
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debra Cannon 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.

Other Providers at the Same Location NPPES

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

EVERGREEN FAMILY ORIENTED TREE INC
Community/Behavioral Health
1580 CHAPEL ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 668-8413

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 Debra Cannon's NPI number?

The NPI number for Debra Cannon is 1538756283. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Where is Debra Cannon located?

Debra Cannon practices at 1580 Chapel St, New Haven, CT 06511. The listed phone number is (203) 908-8978.

What is Debra Cannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Debra Cannon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Debra Cannon was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.