MR. ANTHONY WAYNE CANNON (NPI# 1811036205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811036205 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY WAYNE CANNON |
| Credential | MS |
| Practice Address |
1724 Roxie Ave Fayetteville NC 28304-1623 |
| Mailing Address |
2406 Kimberly Dr Fayetteville NC 28306-2345 |
| Practice Telephone | 9102226003 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1785 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770938920 | Anthony Cannon | Social Worker | 1320 N Michigan Ave Ste 5, Saginaw, MI 48602-4751 | 2016-04-25 |
| 1831537786 | Anthony John Cannon | Psychiatry & Neurology | 446 E Ontario St, Ste 7-200, Chicago, IL 60611-4418 | 2013-06-12 |
| 1831259340 | Anthony Cannon | Internal Medicine | 1a Regulus Dr, Turnersville, NJ 08012-2427 | 2006-12-12 |
| Street Address |
1724 ROXIE AVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184694481 | Aaron Avrum Brodsky | Psychologist | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2006-01-26 |
| 1063041259 | Leon Kentrelle Williams | Social Worker | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2020-04-08 |
| 1801451216 | Recovery Innovations, Inc | Community/Behavioral Health | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2019-05-01 |
| 1720441165 | Richard Watson | Social Worker | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2016-04-02 |
| 1336558501 | Oretha Harris | Counselor | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2014-08-12 |
| 1851702856 | Eddrena C Wiggins | Social Worker | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2014-05-13 |
| 1124443163 | Diana Wilma Avila | Counselor | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2014-02-27 |
| 1740537638 | Elizabeth Rae Bakisae Albright | Physician Assistant | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2012-08-09 |
| 1720384423 | Cumberland Co. Hospital System Inc | Psychiatric Unit | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2011-01-28 |
| 1750412516 | County of Cumberland | Psychiatry & Neurology | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952939811 | A4psychology, Pllc | Psychologist | 596 Executive Pl Ste 201, Fayetteville, NC 28305-5189 | 2020-03-27 |
| 1639725161 | Lauren Rosso | Psychologist | 19 E Mountain St Ste 5, Fayetteville, AR 72701-6067 | 2019-08-12 |
| 1457819963 | Word Wellness Center, LLC | Psychologist | 6836 E Genesee Street, Suite A, Fayetteville, NY 13066 | 2019-03-05 |
| 1912483348 | Young Psychological Services, Pllc | Psychologist | 3800 Sunchase Dr, Fayetteville, NC 28306-8099 | 2018-07-18 |
| 1265951784 | Robert D Felner | Psychologist | 1255 N Montview Dr, Fayetteville, AR 72701-2892 | 2017-09-15 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1528479169 | Rebecca Crain | Psychologist | 2504 Raeford Rd Ste 102, Fayetteville, NC 28305-5135 | 2014-05-16 |
| 1114344330 | Lesley Teitelbaum | Psychologist | 5080 Bridle Path Rd, Fayetteville, NY 13066-9734 | 2014-03-26 |
| 1740605062 | Kimberlee Alane Cooper | Psychologist | 1200 Fairmont Ct, Fayetteville, NC 28304-4403 | 2014-02-24 |
| 1497176093 | Cheryl Funsch Smith | Psychologist | 2031 N Green Acres Rd Ste A, Fayetteville, AR 72703-2619 | 2013-12-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.