Jill Cannon is a Group Psychotherapy Psychologist based in Katonah, NY and is specialized in Group Psychotherapy. Jill Cannon practices in Katonah, NY and has the professional credentials of LCSW. The NPI Number for Jill Cannon is 1225003379 and holds a License No. 0190571 (New York).
The current practice location address for Jill Cannon is 130 Allison Rd, Katonah, NY and can be reached out via phone at 914-401-9010 and via fax at 914-401-9009.
Location: 130 Allison Rd, Katonah, NY, 10536-3430
Provider Profile Details
NPI Number
1225003379
Provider Name
Jill Cannon
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
130 Allison Rd, Katonah, NY, 10536-3430
Phone Number
914-401-9010
Fax Number
914-401-9009
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140019057NY01 | 01 | ANTHEM | |
| 135497 | 01 | VALUE OPTIONS |
Provider Business Practice Location Address Details
Address
130 Allison Rd
City
State
Zip
10536-3430
Phone Number
914-401-9010
Fax Number
914-401-9009
Provider Business Mailing Address Details
Address
130 Allison Rd
City
State
Zip
10536-3430
Phone Number
914-401-9010
Fax Number
914-401-9009
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
License No.
019571 (New York)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0190571 (New York)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
0190571 (New York)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Family
Taxonomy
License No.
0190571 (New York)
Definition
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
License No.
0190571 (New York)
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Provider's Taxonomy Details 6
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Group Psychotherapy
Taxonomy
License No.
R#019571 (New York)
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
Provider's Taxonomy Details 7
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
0190571 (New York)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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