Active NPI
Candace Perry, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Wilmington, DE
National Provider Identifier
1629523949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- L8-0011045
- Practice address
- 1016 Delaware Ave
Wilmington, DE 19806-4704 - Phone
- (302) 468-4530
- NPI assigned
- Aug 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP034650 | PA | |
| Registered Nurse | 163W00000X | L1-0072973 | DE | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0011045 | DE | Primary |
Addresses
Primary practice location
1016 Delaware Ave
Wilmington, DE 19806-4704
Mailing address
1016 Delaware Ave
Wilmington, DE 19806-4704
Phone (302) 468-4530
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0072973 | DE | MD | Registered Nurse |
| L8-0011045 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Village Family Services LLC | Current | Accepting new patients | |
| Queen'S Village Integrative Mental Health, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Havertown, PA
- NPI 1366371981
-
- Home Health Agency
- Philadelphia, PA
- NPI 1992478853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1629523949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 DELAWARE AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198064704",
"telephone_number": "302-468-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 DELAWARE AVE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198064704",
"telephone_number": "302-468-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "CANDACE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-16",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP034650",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0072973",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0011045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.