DR. CASSANDRA CANNON PH.D.
NPI 1679053250
Psychologist in Sacramento, CA
About Dr. Cassandra Cannon Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CASSANDRA CANNON PH.D. (NPI 1679053250) is an individual psychologist in Sacramento, California, licensed in California (PSY24315) and active in the NPI registry since August 2018. She has opted out of Medicare through September 7, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Cassandra Cannon Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 7, 2025 through September 7, 2027.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95864
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 Cassandra Cannon's NPI number?
The NPI number for Cassandra Cannon is 1679053250. It was assigned to this individual provider in the NPPES registry on August 14, 2018.
Where is Cassandra Cannon located?
Cassandra Cannon practices at 3626 Fair Oaks Blvd Ste 100, Sacramento, CA 95864. The listed phone number is (858) 367-3368.
What is Cassandra Cannon's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Cassandra Cannon enrolled in Medicare?
No. Cassandra Cannon has opted out of Medicare through September 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Cassandra Cannon was last updated on May 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.