Active NPI
Candice Passerella, MD
- Psychiatry Physician
- Bethesda, MD
National Provider Identifier
1285219741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101276822
- Practice address
- 4494 Palmer Rd North
BLDG 19, FL 6
Bethesda, MD 20814 - Phone
- (301) 295-0500
- Fax
- (443) 247-2576
- NPI assigned
- Mar 16, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101276822 | VA | |
| Psychiatry Physician | 2084P0800X | 0101276822 | VA | Primary |
Addresses
Primary practice location
4494 Palmer Rd North
BLDG 19, FL 6
Bethesda, MD 20814
Mailing address
4494 Palmer Rd North
BLDG 19, FL 6
Bethesda, MD 20814
Phone (301) 295-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250811000251 | VA | Order and Referring Only - Psychiatry | 3870091739 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101276822 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1285219741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4494 PALMER RD NORTH",
"address_2": "BLDG 19, FL 6",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "301-295-0500",
"fax_number": "443-247-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4494 PALMER RD NORTH",
"address_2": "BLDG 19, FL 6",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "301-295-0500",
"fax_number": "443-247-2576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSERELLA",
"first_name": "CANDICE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2025-07-22",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101276822",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101276822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.