Individual provider Active NPI

Linda McCandless, D.O.

  • Psychiatry Physician
  • Goodyear, AZ
National Provider Identifier
1043436041
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
005585 Issued in AZ
Practice address
14539 W Indian School Rd Ste 800
Goodyear, AZ 85395-9279
Phone
(623) 882-3364
Fax
(623) 882-3367
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 005585 AZ Primary

Addresses

Primary practice location

14539 W Indian School Rd Ste 800
Goodyear, AZ 85395-9279

Mailing address

14539 W Indian School Rd Ste 800
Goodyear, AZ 85395-9279
Phone (623) 882-3364

Other identifiers 3

IdentifierTypeStateIssuer
005585OtherAZAZ LICENSE
05-28420OtherKSKS LICENSE
200300359AMedicaidKS

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)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
005585AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kanza Mental Health and Guidance Center, Inc. Past Accepting new patients
The Guidance Center, Inc PastSince Aug 10, 2015 Accepting new patients
Alam, LLC Psychiatry PastSince Jan 15, 2014 Accepting new patients
The Guidance Center, Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043436041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14539 W INDIAN SCHOOL RD STE 800",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959279",
            "telephone_number": "623-882-3364",
            "fax_number": "623-882-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14539 W INDIAN SCHOOL RD STE 800",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959279",
            "telephone_number": "623-882-3364",
            "fax_number": "623-882-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANDLESS",
        "first_name": "LINDA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "005585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "005585",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS LICENSE",
            "identifier": "05-28420",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200300359A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.