Carmela Josephine Decandia, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

7805 Issued in MA

Practice address

24R School St
Newton, MA 02458-1518

Phone

(617) 916-0156

NPI assigned

Jul 7, 2011

Last updated

Jul 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1437446739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24R SCHOOL ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581518",
            "telephone_number": "617-916-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24R SCHOOL ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581518",
            "telephone_number": "617-916-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECANDIA",
        "first_name": "CARMELA",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7805",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017789",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "7805",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "017789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tashelle Davis
• Heather L Davison, PA-C
• Zelia N De Souza, PT
• Mitchell Deambrose, DPT
• Abigayle Deane, OTR/L
• Tenzin Dechong
• Lauren Elisabeth Decker, MS, RD
• Julia Degrooth, NP
• Alyssa Louise Degruttola
• Nicole Del Vecchio-Moccia

• Clinical Child & Adolescent Psychologist in Newton, MA
• Providers in Newton, MA by specialty
• Clinical Child & Adolescent Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.