DR. DAVID JOHN GANNON (PH.D.) – Counseling Psychologist, NPI 1548270952

DR. DAVID JOHN GANNON (PH.D.) is a healthcare provider. based in Canton, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 5293 (OH). The NPI Number for DR. DAVID JOHN GANNON (PH.D.) is 1548270952

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID JOHN GANNON (PH.D.)
NPI
1548270952
Phone
(330) 493-4220
Address
4572 DRESSLER RD NW
Enumeration Date
8 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304934220
Graduation Year
1993 (33 years ago)
PAC ID
4688849235
Group Practice PAC ID
0446154355
Professional Enrollment ID
I20111208000709
Address ID
OH447182546CA4572XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for DR. DAVID JOHN GANNON (PH.D.)

  • SpringHill Suites Canton, 5770, Dressler Road Northwest, Belden Park Crossings, North Canton, Jackson Township, Stark County, Ohio, 44720, United States

    CANTON, OH 447182546

    Phone: (330) 493-4220

    Fax: (330) 493-8850

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111208000709IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour9215$0
90791Psychiatric diagnostic evaluation1616$0
View full utilization report →

Insurance plans in this area (ZIP 44718)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446154355View full group profile
NameSpecialtyState
Clinical PsychologistOH
Clinical Social WorkerOH
Mental Health CounselorOH
Clinical PsychologistOH
Clinical PsychologistOH

Reviews

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Frequently asked questions

Is there an official ID for DR. DAVID JOHN GANNON (PH.D.) in U.S. healthcare records?
The official identifier for DR. DAVID JOHN GANNON (PH.D.) is NPI 1548270952.
Would DR. DAVID JOHN GANNON (PH.D.) appear as active to a payer?
You can treat DR. DAVID JOHN GANNON (PH.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. DAVID JOHN GANNON (PH.D.)'s focus?
For DR. DAVID JOHN GANNON (PH.D.), the primary taxonomy reads as Counseling Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. DAVID JOHN GANNON (PH.D.) associated with Canton?
Public fields place DR. DAVID JOHN GANNON (PH.D.) around Canton, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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