Organization Active NPI

Terry McCandies PHD

  • Clinical Psychologist
  • Rehoboth Beach, DE
National Provider Identifier
1740979376
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TERRY MCCANDIES PHD
Practice address
19606 Coastal Hwy Unit 102
Rehoboth Beach, DE 19971-8576
Phone
(301) 518-5525
Fax
(302) 503-3578
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Terry T McCandies, PHDNPI 1245371723
Title
Owner
Phone
(301) 518-5525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

19606 Coastal Hwy Unit 102
Rehoboth Beach, DE 19971-8576

Mailing address

19606 Coastal Hwy Unit 102
Rehoboth Beach, DE 19971-8576
Phone (301) 518-5525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231009000576 DE Part B Supplier - Clinic/Group Practice 2264887470 Receives reassigned benefits from 1 practitioner
Practice locations: Rehoboth Beach, DE

National Provider Directory

National Provider Directory

Locations

19606 Coastal Hwy
Unit 102
Rehoboth Beach, DE 19971
Phone (301) 518-5525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1740979376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19606 COASTAL HWY UNIT 102",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199718576",
            "telephone_number": "301-518-5525",
            "fax_number": "302-503-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19606 COASTAL HWY UNIT 102",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199718576",
            "telephone_number": "301-518-5525",
            "fax_number": "302-503-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY MCCANDIES PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "MCCANDIES",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-518-5525",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.