Individual provider Active NPI

Alexis Shawn Candelier, PSY.D.

  • Psychologist
  • Vancouver, WA
National Provider Identifier
1861845406
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
905 NE 68TH St Ste B
Vancouver, WA 98665-0584
Phone
(213) 550-5294
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X
Psychologist 103T00000X Primary

Addresses

Primary practice location

905 NE 68TH St Ste B
Vancouver, WA 98665-0584

Mailing address

3007 NE 57TH Ave Apt C
Vancouver, WA 98661-6714
Phone (213) 550-5294

Other practice location 1

101 E 8th St Ste 110
Vancouver, WA 98660-3294
Phone (213) 550-5294

Other identifiers 1

IdentifierTypeStateIssuer
PSYC.PY.6126464160OtherWAPSYCHOLOGIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1861845406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 NE 57TH AVE APT C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616714",
            "telephone_number": "213-550-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 NE 68TH ST STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650584",
            "telephone_number": "213-550-5294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E 8th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603294",
            "country_code": "US",
            "telephone_number": "213-550-5294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANDELIER",
        "first_name": "ALEXIS",
        "middle_name": "SHAWN",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "PSYC.PY.6126464160",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.