Active NPI
Doreen Mary McCandless, LMFT
- Marriage & Family Therapist
- Lancaster, CA
National Provider Identifier
1699951517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT91281
- Practice address
- 44447 10TH St. West
Lancaster, CA 93534 - Phone
- (661) 726-2630
- Fax
- (661) 940-3412
- NPI assigned
- Jan 10, 2008
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 54016 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT91281 | CA | Primary |
Addresses
Primary practice location
44447 10TH St. West
Lancaster, CA 93534
Mailing address
44447 10TH St W
Lancaster, CA 93534-3324
Phone (661) 726-2630
Other practice location 1
190 Sierra Ct
Suite C-8
Palmdale, CA 93550-7607
Phone (661) 266-4783 ext. 2716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMFT91281 | Other | CA | CLINICAL SUPERVISOR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 54016 | CA | MD | Marriage & Family Therapist |
| LMFT91281 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients |
Interoperability endpoints
- doreenmccandless-tarzanatc@lacsapc.netsmartdirect.net
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.
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699951517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44447 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343324",
"telephone_number": "661-726-2630",
"fax_number": "661-940-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44447 10TH ST. WEST",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93534",
"telephone_number": "661-726-2630",
"fax_number": "661-940-3412"
}
],
"practiceLocations": [
{
"address_1": "190 Sierra Ct",
"address_2": "Suite C-8",
"address_purpose": "LOCATION",
"city": "Palmdale",
"state": "CA",
"postal_code": "935507607",
"country_code": "US",
"telephone_number": "661-266-4783 x2716",
"fax_number": "661-266-1210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCANDLESS",
"first_name": "DOREEN",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 54016",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT91281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SUPERVISOR",
"identifier": "LMFT91281",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.