DR. JENNIFER ANNE CANNON (NPI# 1861831711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861831711 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ANNE CANNON |
| Other Name | MS. JENNIFER ANNE DYCK |
| Credential | D.O. |
| Practice Address |
1020 Sansom St Ste 1652 Philadelphia PA 19107-5002 |
| Mailing Address |
1020 Sansom Street Suite 1652 Philadelphia PA 19125 |
| Practice Telephone | 2159559545 |
| Practice Fax Number | 2159558473 |
| Mailing Telephone | 2159559545 |
| Mailing Fax Number | 2159558473 |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OS018695 | PA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
5315060084 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
OS018695 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3031 W Grand Blvd, Suite 450, Detroit, MI 482023046 | 3138713751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515238 | Jennifer Cannon | Peer Specialist | 26110 White Sage Cove Ln, Spring, TX 77386-3944 | 2020-10-09 |
| 1225462039 | Jennifer Lynn Cannon | Chore Provider | 201 Nc 54, Apt 605, Carrboro, NC 27510-1600 | 2013-08-28 |
| 1104127869 | Jennifer Anne Nibley Cannon | Psychologist | 796 E Pacific Dr Ste B, American Fork, UT 84003-3161 | 2010-11-11 |
| 1093822157 | Jennifer Cannon | Physical Therapist | 5920 S Estes St Ste 100, Littleton, CO 80123-8619 | 2006-08-24 |
| 1598326928 | Jennifer Leigh Cannon | Registered Nurse | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2019-06-26 |
| 1942863154 | Jennifer Cannon | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2019-04-15 |
| 1699212779 | Jennifer Cannon | Nurse Practitioner | 380 9th St, Florence, OR 97439-9470 | 2017-01-26 |
| 1528461647 | Jennifer Cannon | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2014-10-02 |
| 1750725008 | Jennifer Leigh Cannon | Nurse Practitioner | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 | 2013-04-17 |
| 1487996930 | Jennifer C Cannon | Obstetrics & Gynecology | 221 Michigan St Ne Ste 600, Grand Rapids, MI 49503 | 2013-03-22 |
| Street Address |
1020 SANSOM ST STE 1652 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013258086 | Lynne Dee Boone | Psychiatry & Neurology | 1020 Sansom St Ste 1652, Philadelphia, PA 19107-5002 | 2013-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326288549 | Deborah A. Snyderman, M.d., LLC | Psychiatry & Neurology | 255 S 17th St, Suite 1801, Philadelphia, PA 19103-6231 | 2009-02-27 |
| 1518185453 | Roger Erro | Psychiatry & Neurology | 2147 N 6th St, Philadelphia, PA 19122-1415 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891042651 | Psychiatry Today Inc. | Psychiatry & Neurology | 6 Dickinson Dr Ste 107, Chadds Ford, PA 19317-9689 | 2012-08-11 |
| 1407144892 | Morgan Faeder | Psychiatry & Neurology | 3520 5th Ave, Ground Floor, Upmc Wpic C&l, Pittsburgh, PA 15213 | 2011-07-19 |
| 1306051925 | Bernard James Dicasimirro | Psychiatry & Neurology | 825 Highland Ave, Morrisville, PA 19067-1073 | 2007-05-14 |
| 1912111899 | Kron Psychiatric Associates, PC | Psychiatry & Neurology | 337 Fishers Rd, Bryn Mawr, PA 19010-3603 | 2007-05-09 |
| 1871714337 | Lisa I Goldstein | Psychiatry & Neurology | 1062 Lancaster Avenue, Suite 11, Rosemont, PA 19010 | 2007-05-01 |
| 1265650063 | Dominic Louis Mazza | Psychiatry & Neurology | 398 Kennedy Dr, Archbald, PA 18403-1582 | 2007-04-24 |
| 1902024516 | Gladys Susan Fenichel | Psychiatry & Neurology | 210 Kent Rd, Ardmore, PA 19003-3304 | 2007-04-22 |
| 1992124283 | Shelly Kucherer | Psychiatry & Neurology | 3811 Ohara St, Pittsburgh, PA 15213-2561 | 2014-04-15 |
| 1255643292 | Reading Psychiatry | Psychiatry & Neurology | 640 Walnut St, First Floor, Reading, PA 19601-3504 | 2010-07-07 |
| 1952512808 | Yu Song Kao | Psychiatry & Neurology | 166 Hanover St, Wilkes Barre, PA 18702-3544 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on DR. JENNIFER ANNE CANNON.
| 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.