Active NPI
Candace Farrell, PSYD
- Clinical Psychologist
- W Hollywood, CA
National Provider Identifier
1235601535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY30573
- Practice address
- 1342 N Hayworth Ave Apt 201
W Hollywood, CA 90046-4692 - Phone
- (323) 896-2600
- NPI assigned
- Dec 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY30573 | CA | Primary |
Addresses
Primary practice location
1342 N Hayworth Ave Apt 201
W Hollywood, CA 90046-4692
Mailing address
1342 N Hayworth Ave Apt 201
W Hollywood, CA 90046-4692
Phone (323) 896-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY30573 | Other | CA | PSYCHOLOGIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30573 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545782400000",
"number": "1235601535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1342 N HAYWORTH AVE APT 201",
"city": "W HOLLYWOOD",
"state": "CA",
"postal_code": "900464692",
"telephone_number": "323-896-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1342 N HAYWORTH AVE APT 201",
"city": "W HOLLYWOOD",
"state": "CA",
"postal_code": "900464692",
"telephone_number": "323-896-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "CANDACE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-26",
"last_updated": "2018-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY30573",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LICENSE",
"identifier": "PSY30573",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in W Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.