Active NPI
Candace Sherburne Firth, PH.D.
- Marriage & Family Therapist
- Fort Lauderdale, FL
National Provider Identifier
1164544078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT0387
- Practice address
- 1417 SE 4TH St
Fort Lauderdale, FL 33301-2319 - Phone
- (561) 832-7788
- Fax
- (954) 779-1643
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT0387 | FL | Primary |
Addresses
Primary practice location
1417 SE 4TH St
Fort Lauderdale, FL 33301-2319
Mailing address
108 Spyglass LN
Jupiter, FL 33477-4037
Phone (561) 748-1726
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT0387 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164544078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 SPYGLASS LN",
"city": "JUPITER",
"state": "FL",
"postal_code": "334774037",
"telephone_number": "561-748-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 SE 4TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012319",
"telephone_number": "561-832-7788",
"fax_number": "954-779-1643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIRTH",
"first_name": "CANDACE",
"middle_name": "SHERBURNE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT0387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.