Individual provider Active NPI

Rhianna Candido, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Medford, MA
National Provider Identifier
1699383489
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2328992 Issued in MA
Practice address
0 Governors Ave Ste 24
Medford, MA 02155-3097
Phone
(617) 294-9094
Fax
(844) 927-4990
NPI assigned
Jul 17, 2020
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2328992 MA Primary
Registered Nurse 163W00000X RN2328992 MA

Addresses

Primary practice location

0 Governors Ave Ste 24
Medford, MA 02155-3097

Mailing address

0 Governors Ave Ste 24
Medford, MA 02155-3097
Phone (617) 294-9094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2328992MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Psychiatry & Wellness, PLLC Current Accepting new patients

Locations

0 Governors Ave
Ste 24
Medford, MA 02155
Phone (781) 862-4171

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1699383489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0 GOVERNORS AVE STE 24",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553097",
            "telephone_number": "617-294-9094",
            "fax_number": "844-927-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0 GOVERNORS AVE STE 24",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553097",
            "telephone_number": "617-294-9094",
            "fax_number": "844-927-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDIDO",
        "first_name": "RHIANNA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2328992",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2328992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.