Individual provider Active NPI

Candice Charmaine Caesar, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyattsville, MD
National Provider Identifier
1083356448
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11019077 Issued in FL
Practice address
8201 Corporate Dr Ste 610
Hyattsville, MD 20785-2245
Phone
(240) 744-1086
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11019077 FL Primary

Addresses

Primary practice location

8201 Corporate Dr Ste 610
Hyattsville, MD 20785-2245

Mailing address

8201 Corporate Dr Ste 610
Hyattsville, MD 20785-2245
Phone (240) 744-1086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220910000275 FL Practitioner - Nurse Practitioner 1254716301 Reassigns benefits to 2 organizations
I20240709004150 MD Practitioner - Nurse Practitioner 1254716301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11019077FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Health Partners, Inc. CurrentSince Aug 8, 2022 Accepting new patients
Holistic Medical Services, LLC Psychiatric/Mental Health CurrentSince Jan 28, 2026 Accepting new patients
Personal Recovery Network LLC CurrentSince May 8, 2023 Accepting new patients
State of Mind Health & Wellness, LLC Psychiatric/Mental Health Past Accepting new patients

Locations

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

6718 Lake Nona Blvd
Orlando, FL 32827
Phone (407) 476-1222

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

5801 Belair Rd
#A1
Baltimore, MD 21206
Phone (240) 601-0237

Organizations & group practices 5

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1083356448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 CORPORATE DR STE 610",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852245",
            "telephone_number": "240-744-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 CORPORATE DR STE 610",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852245",
            "telephone_number": "240-744-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAESAR",
        "first_name": "CANDICE",
        "middle_name": "CHARMAINE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11019077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.