Active NPI
Candace Varvil, PHD
- Psychologist
- Marquette, MI
National Provider Identifier
1508909755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301002701
- Practice address
- 104 E Washington St
Marquette, MI 49855-4318 - Phone
- (906) 228-3092
- Fax
- (906) 228-3092
- NPI assigned
- Feb 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301002701 | MI | Primary |
Addresses
Primary practice location
104 E Washington St
Marquette, MI 49855-4318
Mailing address
144 Brewer Dr
Marquette, MI 49855-9588
Phone (906) 249-5165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680E24541 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301002701 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508909755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 BREWER DR",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498559588",
"telephone_number": "906-249-5165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E WASHINGTON ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554318",
"telephone_number": "906-228-3092",
"fax_number": "906-228-3092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARVIL",
"first_name": "CANDACE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301002701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "680E24541",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.