Active NPI
Terry McCandies PHD
- Clinical Psychologist
- Rehoboth Beach, DE
National Provider Identifier
1740979376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry T McCandies, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.