MS. MARY SPROWL CANNON (NPI# 1053600825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053600825 |
| Entity Type | Individual |
| Full Name | MS. MARY SPROWL CANNON |
| Credential | M.A., LMFT |
| Practice Address |
1101 S Winchester Blvd Suite A101 San Jose CA 95128-3901 |
| Practice Telephone | 4088594983 |
| Mailing Telephone | 4088594983 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC40685 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700343530 | Mary Elizabeth Cannon | Counselor | 1711 E Central Texas Expy # 30, Killeen, TX 76541-9166 | 2019-02-28 |
| 1508217209 | Mary Cannon | Registered Nurse | 29686 Millstream Dr, Salisbury, MD 21804-2002 | 2016-06-24 |
| 1164593661 | Mary Elizabeth Cannon | Counselor | 69 Surfside Ave, Montauk, NY 11954-0896 | 2006-11-13 |
| 1144789694 | Mary Cannon | Nurse Practitioner | 5950 University Ave Ste 341, West Des Moines, IA 50266-8289 | 2019-03-14 |
| 1477883668 | Mary Dale Cannon | Psychologist | 2775 Executive Park Nw, Suite 1, Cleveland, TN 37312-2763 | 2010-01-11 |
| 1871711101 | Mary P Cannon | Social Worker | 1190 N 900 E, Provo, UT 84604-3536 | 2007-04-23 |
| 1801930623 | Mary Cannon | Registered Nurse | 31 Hosier St, Selbyville, DE 19975-9300 | 2007-02-16 |
| 1023127891 | Mary J Cannon | Obstetrics & Gynecology | 545 Plainfield Rd, Suite C, Willowbrook, IL 60527-7600 | 2006-08-29 |
| 1679532592 | Mary L Cannon | Radiology | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2006-03-20 |
| Street Address |
1101 S WINCHESTER BLVD SUITE A101 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467488627 | Sleepmed Therapies Inc | Durable Medical Equipment & Medical Supplies | 1101 S Winchester Blvd, Suite G-180, San Jose, CA 95128 | 2006-06-22 |
| 1700499100 | Laura Gail Hastings | Marriage & Family Therapist | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2020-08-25 |
| 1316579378 | Melissa Perez Ibarra | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2020-02-07 |
| 1689205171 | Daniel Mainwald | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2020-02-03 |
| 1144880857 | Ailan Michelle Nguyen | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2019-06-14 |
| 1548736770 | Samantha Colleen Disalvo | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2018-10-15 |
| 1154896231 | Christian Legaspi | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2018-10-04 |
| 1992280200 | Jennifer Leblanc | Assistant Behavior Analyst | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2018-10-02 |
| 1972088573 | Cierilyn Legaspi | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2018-09-28 |
| 1316422041 | Katelyn Short | Behavior Technician | 1101 S Winchester Blvd, San Jose, CA 95128-3901 | 2018-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372377 | Ratzburg Family Counseling Corporation | Marriage & Family Therapist | 465 Chinook Ln, San Jose, CA 95123-3311 | 2020-09-25 |
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1083230981 | Joanna Leigh Carson-young | Marriage & Family Therapist | 1769 Park Ave Ste 220, San Jose, CA 95126-2025 | 2020-06-17 |
| 1144857467 | Glenn M Tanimura | Marriage & Family Therapist | 1079 Noble Ln, San Jose, CA 95132-3128 | 2020-03-25 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1992339196 | Brenda Ann Farrell | Marriage & Family Therapist | 1625 The Alameda Ste 711, San Jose, CA 95126-2225 | 2020-02-26 |
| 1619507472 | Michelle Marie Wambach | Marriage & Family Therapist | 4020 Moorpark Ave Ste 206, San Jose, CA 95117-1846 | 2020-01-21 |
| 1699313080 | Juan Carlos Mercado | Marriage & Family Therapist | 290 North 2nd St, San Jose, CA 95112 | 2019-12-16 |
| 1497398002 | Veronica Marie Ayala | Marriage & Family Therapist | 840 Guadalupe Pkwy Fl 2, San Jose, CA 95110-1714 | 2019-10-26 |
| 1700428224 | Lynn Huggins | Marriage & Family Therapist | 1625 The Alameda Ste 304, San Jose, CA 95126-2223 | 2019-10-16 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.