Active NPI
Alexis Shawn Candelier, PSY.D.
- Psychologist
- Vancouver, WA
National Provider Identifier
1861845406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSYC.PY.6126464160 | Other | WA | PSYCHOLOGIST 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.