Active NPI
Candyce Tart, PH.D.
- Clinical Psychologist
- Albuquerque, NM
National Provider Identifier
1457772147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1312
- Practice address
- 4810 Hardware Dr NE Ste 4
Albuquerque, NM 87109-2013 - Phone
- (505) 805-2912
- NPI assigned
- Dec 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1312 | NM | |
| Clinical Psychologist | 103TC0700X | 1312 | NM | Primary |
Addresses
Primary practice location
4810 Hardware Dr NE Ste 4
Albuquerque, NM 87109-2013
Mailing address
607 Richmond Dr NE
Albuquerque, NM 87106-2148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 2, 2025 through Jan 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1312 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Psychology Services, LLC | Clinical | Current | Accepting new patients |
Locations
4810 Hardware Dr NE
Ste 4
Albuquerque, NM 87109
Phone (505) 591-1031
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Albuquerque, NM
- NPI 1609681162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1457772147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 RICHMOND DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810 HARDWARE DR NE STE 4",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871092013",
"telephone_number": "505-805-2912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TART",
"first_name": "CANDYCE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-23",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "1312",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "1312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.