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

Mark Cannon, MD

Individual provider Psychiatry Physician · NPI 1720169295

Mark Cannon, MD is a Psychiatry in Kansas City, Missouri. Graduated from Boston University School of Medicine in 1984, 42 years ago. Practices with Wyandot Center for Community Behavioral Healthcare Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
42
Trained at
Boston University School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3801 Blue Pkwy
Kansas City, MO 64130-2807
Phone: (816) 922-7645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence R7F32 (MO)

Record details

NPI number1720169295
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Wyandot Center For Community Behavioral Healthcare Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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