Individual provider Active NPI

Kendra Shari Canady, LAMFT

  • Marriage & Family Therapist
  • Glendale, AZ
National Provider Identifier
1114568797
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LAMFT-10654 Issued in AZ
Practice address
4425 W Olive Ave Ste 151
Glendale, AZ 85302-3855
Phone
(602) 456-4817
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LAMFT-10654 AZ Primary

Addresses

Primary practice location

4425 W Olive Ave Ste 151
Glendale, AZ 85302-3855

Mailing address

13421 N 43Rd Ave Apt 3100
Phoenix, AZ 85029-1042
Phone (480) 519-6740

Other names 1

  • Kendra Crudup Former name

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

State licenses

LicenseStateTypeSpecialty
LAMFT-10654AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McGady & Associates Psychological Services PLC CurrentSince Dec 1, 2019 Accepting new patients
McGady & Associates Psychological Services PLC CurrentSince Jan 11, 2020 Accepting new patients

Locations

4425 W Olive Ave
Ste 151
Glendale, AZ 85302
Phone (602) 456-4817

Organizations & group practices 2

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": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1114568797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 N 43RD AVE APT 3100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291042",
            "telephone_number": "480-519-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W OLIVE AVE STE 151",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853023855",
            "telephone_number": "602-456-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADY",
        "first_name": "KENDRA",
        "middle_name": "SHARI",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LAMFT-10654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "CRUDUP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.