Candice Fern Porter, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4106 Issued in MA

Practice address

36 Weston Ave
36 Weston Ave
Quincy, MA 02170-1833

Phone

(617) 786-0137

Fax

(617) 479-4798

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396855441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WESTON AVE",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021701833",
            "telephone_number": "617-786-0137",
            "fax_number": "617-479-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WESTON AVE",
            "address_2": "36 WESTON AVE",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021701833",
            "telephone_number": "617-786-0137",
            "fax_number": "617-479-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CANDICE",
        "middle_name": "FERN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Michael Pomarico
• Briana Poole, LCSW
• Madelyne I Pope, MA CAGS LMFT LADC1
• Alison Poppe, PA-C
• Jennifer C Porfilio, MS OTR L
• John Porter
• Christopher Arthur Post, MD
• Sally Ann Potkay, M.ED IN COUNSELING
• Jacqueline N Potter, PH.D., BCBA-D, LABA
• Arealus Pough, LICSW

• Mental Health Counselor in Quincy, MA
• Providers in Quincy, MA by specialty
• Mental Health Counselor in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.