Mary Fitch Candelaria, PSY.D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2200 Issued in WA

Practice address

16709 NE 41St St
Redmond, WA 98052-5473

Phone

(425) 702-3447

Fax

(425) 577-6528

NPI assigned

Feb 7, 2007

Last updated

Mar 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in WA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mary Candelaria

  • Psychologist
  • Everett, WA
  • NPI 1154534105
  NPD (past) Authorized official
• Symmetry Physical Therapy & Scoliosis Care

  dba Viewpoint Physical Therapy

  • Physical Therapist
  • Mukilteo, WA
  • NPI 1184742496
  NPD
• Brian D Jaeger MD PS Inc

  • Adult Mental Health Clinic/Center
  • Redmond, WA
  • NPI 1396915385
  NPD (past)
• Marcia Houdek Jimenez, PH.D.

  • Clinical Psychologist
  • Redmond, WA
  • NPI 1104183722
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1841330859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E INTERCITY AVE STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082732",
            "telephone_number": "425-347-7275",
            "fax_number": "425-355-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16709 NE 41ST ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525473",
            "telephone_number": "425-702-3447",
            "fax_number": "425-577-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIA",
        "first_name": "MARY",
        "middle_name": "FITCH",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "2200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Calhoon-Fischer
• Melanie R Call
• Kristin Calvert
• I Steven Campbell, DPT
• Scott D. Campbell, LMFT
• Paola Linda Candia, DO
• Erica Cannell, M.D.
• Suzanne Ballew Canning, M.D.
• Rosada V Cantrell, LMHC
• Daryll Jean Caporaso, MSW

• Mental Health Counselor in Redmond, WA
• Providers in Redmond, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.