Individual provider Active NPI

Candace Sherida Carter, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1346866829
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403056 Issued in NY
Practice address
301 Prospect Ave
Syracuse, NY 13203-1807
Phone
(315) 726-8610
NPI assigned
Jun 22, 2020
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403056 NY Primary

Addresses

Primary practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Mailing address

719 Harrison St
Syracuse, NY 13210-2305
Phone (315) 464-3119

Other practice location 1

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5360

Other practice location 2

1045 James St Ste 100
Syracuse, NY 13203-2758
Phone (315) 472-4471

Other practice location 3

3300 James St Ste 100
Syracuse, NY 13206-2392
Phone (315) 422-0300

Other practice location 4

713 Harrison St
Syracuse, NY 13210-2305
Phone (315) 464-3265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201230001664 NY Practitioner - Nurse Practitioner 3779996202 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Liberty Resources IncGroup PAC ID 4486703352, 82 clinicians
Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians
Psychiatric NP Consultants of Central New York, PLLCGroup PAC ID 6709143191, 7 clinicians
Psychiatry Faculty Practice, IncGroup PAC ID 9234458530, 90 clinicians

Practice addresses (Care Compare)

1045 James St
Syracuse, NY 13203-2730
Phone (315) 472-4471

300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (888) 515-3834

4914 W Genesee St
Suite 121
Camillus, NY 13031-2378
Phone (315) 446-1435

719 Harrison St
Syracuse, NY 13210-2695
Phone (315) 464-3265

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
88.2
Promoting interoperability
100
Improvement activities
40
Cost
69.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
403056NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric NP Consultants of Central New York, PLLC Psychiatric/Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Liberty Resources, Inc. CurrentSince Aug 16, 2021 Accepting new patients
Che Senior Psychological Services, PC Psychiatric/Mental Health CurrentSince Jan 19, 2026 Accepting new patients
Psychiatry Faculty Practice, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Psychiatry Services of New York, P.C. CurrentSince Nov 1, 2025 Accepting new patients
Liberty Resources, Inc. CurrentSince Aug 16, 2021 Accepting new patients
Psychiatry Services of New York PC Current Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Essex County Treasurer CurrentSince Jan 22, 2021 Accepting new patients
Liberty Resources Inc. Current Accepting new patients
Essex County Treasurer CurrentSince Jan 22, 2021 Accepting new patients
St Josephs Hospital Health Center CurrentSince Dec 1, 2025 Accepting new patients
Knapp Street Psychiatry, PC Psychiatric/Mental Health CurrentSince Jan 19, 2026 Accepting new patients

Locations

2433 Knapp St
Ste 306
Brooklyn, NY 11235

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

713 Harrison St
Bldg 3
Syracuse, NY 13210
Phone (315) 464-3265

713 Harrison St
Syracuse, NY 13210
Phone (315) 464-3145

3300 James St
Ste 100
Syracuse, NY 13206
Phone (315) 671-2202

1045 James St
Syracuse, NY 13203
Phone (315) 425-1004

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

1045 James St
Ste 100
Syracuse, NY 13203
Phone (315) 425-1004

719 Harrison St
Syracuse, NY 13210
Phone (315) 464-3265

3300 James St
Ste 101
Syracuse, NY 13206

Interoperability endpoints

  • Direct secure messaging: ccarter30970@direct.upstate.edu
  • Direct secure messaging: candace.carter.p1@direct.liberty-resources.nextgenshare.com
  • Direct secure messaging: candace.carter.1@28623.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28623/brand/6/csg/1/fhir/r4

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1346866829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 HARRISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102305",
            "telephone_number": "315-464-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PROSPECT AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031807",
            "telephone_number": "315-726-8610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-448-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 James St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132032758",
            "country_code": "US",
            "telephone_number": "315-472-4471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 James St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132062392",
            "country_code": "US",
            "telephone_number": "315-422-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102305",
            "country_code": "US",
            "telephone_number": "315-464-3265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CANDACE",
        "middle_name": "SHERIDA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.