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

Dr. Kevin T Cannon, PHD

Individual provider Clinical Neuropsychologist · NPI 1023509825

Dr. Kevin T Cannon, PHD is a Clinical Psychologist in Andover, Massachusetts. Qualified in 2019, 7 years ago. Practices with Integrated Behavioral Care New England LLC, a 25-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3 Dundee Park Dr Ste 203
Andover, MA 01810-3723
Phone: (978) 655-2252
Fax: (978) 296-5594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10 Federal St Ste 307, Salem, MA 01970-3860 — (617) 758-8485
  • 39 Simon St Ste 5, Nashua, NH 03060-3045 — (603) 889-8648

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 11371 (MA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 11371 (MA)

Record details

NPI number1023509825
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 29, 2018
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Integrated Behavioral Care New England Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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