Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joseph Gannon, PHD a Professional Psychology Corporation

Organization Cognitive & Behavioral Psychologist · NPI 1245277227

Joseph Gannon, PHD a Professional Psychology Corporation is a Cognitive & Behavioral Psychologist in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

4445 Eastgate Mall Pmb 843 Ste 200
San Diego, CA 92121-1979
Phone: (858) 705-5439
Fax: (858) 771-1078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY12034 (CA)

Record details

NPI number1245277227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Gannon — President · (858) 705-5439
NPI enumeratedMay 31, 2006
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address4445 Eastgate Mall Pmb 843, Suite 200, San Diego, CA 92121-1979

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