Candor Psychotherapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CANDOR PSYCHOTHERAPY, LLC

Practice address

1405 Chews Landing Rd Ste 54
Clementon, NJ 08021-2769

Phone

(856) 759-7906

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Maria Richman, LCSWNPI 1770905259

Title

Owner

Phone

(856) 759-7906

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Richman, MSW

  • Mental Health Counselor
  • Mt. Holly, NJ
  • NPI 1770905259
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1275210437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDING RD STE 54",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212769",
            "telephone_number": "856-759-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CHEWS LANDING RD STE 54",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212769",
            "telephone_number": "856-759-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDOR PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "RICHMAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-759-7906",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Bucciarelli, NP
• Byrdwings
• Byrdwings II
• Camcare Health Corporation
• Camden County Educational Services Commission
• Courtney Michelle Cannon
• Chaddy Cantona, PMHNP
• Adrienne C Capone, MS SLP CFY
• Carelink Community Support Services of New Jersey Inc
• Carewell Services LLC

• Mental Health Counselor in Clementon, NJ
• Providers in Clementon, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.