DR. JOSEPH PATRICK GANNON PH.D. NPI 1467440347

NPI Information

  • NPI: 1467440347
  • Provider Name: DR. JOSEPH PATRICK GANNON, PH.D.
  • Classification: Psychologist - 103TB0200X
  • Specialization: Cognitive & Behavioral
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4445 EASTGATE MALL STE 200
    SAN DIEGO, CA
    ZIP 92121
  • Phone: (858) 705-5439

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NPI Details

DR. Joseph Patrick Gannon, PH.D. is a cognitive and behavioral psychologist in San Diego, CA. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Joseph Patrick Gannon, PH.D. NPI is 1467440347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4445 EASTGATE MALL STE 200
SAN DIEGO, CA
ZIP 92121-979
Phone: (858) 705-5439
Fax: (858) 771-1078

The NPI 1467440347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/13/2005 and was last updated on 8/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & BehavioralPSY12034CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OPL120340OTHERCALIFORNIABLUE SHIELD/BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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