Individual provider Active NPI

Candice Jean Dunn, PSYD

  • Psychologist
  • Saratoga Springs, NY
National Provider Identifier
1033398060
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
018454 Issued in NY
Practice address
359 Ballston Ave
Saratoga Springs, NY 12866-4723
Phone
(518) 587-8008
Fax
(518) 587-8241
NPI assigned
Oct 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 018454 NY Primary

Addresses

Primary practice location

359 Ballston Ave
Saratoga Springs, NY 12866-4723

Mailing address

359 Ballston Ave
Saratoga Springs, NY 12866-4723
Phone (518) 587-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1033398060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 BALLSTON AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664723",
            "telephone_number": "518-587-8008",
            "fax_number": "518-587-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 BALLSTON AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664723",
            "telephone_number": "518-587-8008",
            "fax_number": "518-587-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "CANDICE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.