Candy Soares, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23926 Issued in CA

Practice address

24863 W Jayne Ave
Coalinga, CA 93210-9502

Phone

(559) 935-4900

NPI assigned

Jul 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Coalinga, CA
  • NPI 1427684257
  NPD (past)

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1720420664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24863 W JAYNE AVE",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932109502",
            "telephone_number": "559-935-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24863 W JAYNE AVE",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932109502",
            "telephone_number": "559-935-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "CANDY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey David Shein, PH.D.
• Alicia Marie Sherfield, PT
• Nobuyuki Shiraishi, NMT MT-BC LCAT
• Babak Shirvani
• Leda L. Smith, PSY. D.
• Clint J Soares, PHD
• Mary Rose Sojor
• Carolina Solorio
• Christopher Stack, PSY.D.
• Richard Alton Starrett, PSYCHOLOGIST

• Clinical Psychologist in Coalinga, CA
• Providers in Coalinga, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.