Individual provider Active NPI

Candice Silveira-Carpenter, PHD

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1073139275
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35516 Issued in CA
Practice address
406 9TH Ave Ste 208
San Diego, CA 92101-7277
Phone
(619) 800-6060
Fax
(619) 780-7961
NPI assigned
Jun 23, 2020
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35516 CA Primary

Addresses

Primary practice location

406 9TH Ave Ste 208
San Diego, CA 92101-7277

Mailing address

406 9TH Ave Ste 208
San Diego, CA 92101-7277
Phone (619) 800-6060

Other names 1

  • Candice Silveira Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35516CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Sawires, Psy.D., Psychologist Inc. Clinical CurrentSince Dec 3, 2024 Accepting new patients

Locations

406 9th Ave
Ste 208
San Diego, CA 92101
Phone (619) 738-2621

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1073139275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 9TH AVE STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017277",
            "telephone_number": "619-800-6060",
            "fax_number": "619-780-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 9TH AVE STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017277",
            "telephone_number": "619-800-6060",
            "fax_number": "619-780-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVEIRA-CARPENTER",
        "first_name": "CANDICE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "35516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "SILVEIRA",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.