Hyrum Marriott Candland

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

306834 Issued in AZ

Practice address

2552 E Carol Ave
Mesa, AZ 85204-3012

Phone

(480) 620-3596

NPI assigned

Feb 16, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unchained-Gilbert LLCGroup PAC ID 8527424100, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: unchainedwellnessclinic.hyrumcandland@161384.advancedmd-direct.com

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.

• Unchained-Gilbert LLC

  • Psychiatry Physician
  • Gilbert, AZ
  • NPI 1578274346
  Medicare reassignment Care Compare group
• Hyc Venture

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1407790207
  NPD Authorized official

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1821853102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 E CAROL AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852043012",
            "telephone_number": "480-620-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 E CAROL AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852043012",
            "telephone_number": "480-620-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDLAND",
        "first_name": "HYRUM",
        "middle_name": "MARRIOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN167395",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "306834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canaan Capital Management LLC
• Salvador Canale, CCP
• Irma M. Canas, MNS, CCC-SLP
• Nicole A Canchola, LCSW
• Robert C Candipan, MD
• Canfield Counseling
• Diana Kay Canfield, MS, LCPC, LPC
• Amanda Rae Canizales, FNP
• Angelina Rosa Canjura, F.N.P.
• Justin Canlas, BCBA, LBA

• Psychiatric/Mental Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.