DR. MARY FITCH CANDELARIA (NPI# 1841330859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841330859 |
| Entity Type | Individual |
| Full Name | DR. MARY FITCH CANDELARIA |
| Credential | PSY.D |
| Practice Address |
127 E Intercity Ave Ste A Everett WA 98208-2732 |
| Practice Telephone | 4253477275 |
| Practice Fax Number | 4253550626 |
| Mailing Telephone | 4253477275 |
| Mailing Fax Number | 4253550626 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2200 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093170649 | Mary Candelaria | Licensed Practical Nurse | 4411 E Kings Canyon, Fresno, CA 93702 | 2015-12-28 |
| 1023283991 | Mary Annabel Candelaria | Pharmacist | 2100 Carlisle Blvd Ne, Kmart Pharmacy, Albuquerque, NM 87110-3810 | 2008-04-23 |
| Street Address |
127 E INTERCITY AVE STE A |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477768927 | Patricia A. Worthey Ph.d. P.s. | Psychologist | 127 E Intercity Ave Ste A, Everett, WA 98208-2732 | 2007-05-10 |
| 1235342213 | Janis C. Rasmussen, Psyd, Ps | Psychologist | 127 E Intercity Ave Ste A, Everett, WA 98208-2751 | 2007-05-07 |
| 1154534105 | Mary Candelaria | Psychologist | 127 E Intercity Ave Ste A, Everett, WA 98208-2732 | 2007-05-07 |
| 1679795637 | Virginia Johnson Ps | Psychologist | 127 E Intercity Ave Ste A, Everett, WA 98208-2732 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241638 | Debbie Bayer L.m.f.t.p.l.l.c | Counselor | 2230 Rucker Ave # A1, Everett, WA 98201-2772 | 2020-09-29 |
| 1982219929 | Melanie Anne Roque | Counselor | 4326 Terrace Dr, Everett, WA 98203-2204 | 2020-09-15 |
| 1093328403 | Bailey Marie Walters | Counselor | 3305 Oakes Ave, Everett, WA 98201-4409 | 2020-08-25 |
| 1740818079 | Alona Wellness Center, Pllc | Counselor | 2701 Wetmore Ave Ste 205, Everett, WA 98201-3593 | 2020-03-31 |
| 1144853219 | Jann Finley Lmhc Ccht Inc | Counselor | 2804 Grand Ave Ste 303b, Everett, WA 98201-3586 | 2020-02-18 |
| 1629615380 | Christina Laguerre Malai | Counselor | 88 Morris St, Everett, MA 02149-2347 | 2019-12-02 |
| 1841846219 | Annette Lualemaga | Counselor | 11314 4th Ave W Ste 209, Everett, WA 98204-6926 | 2019-08-12 |
| 1023660214 | Carmela Anita Maxell-harrison | Counselor | 2320 Rockefeller Ave # A, Everett, WA 98201-2832 | 2019-07-09 |
| 1033779103 | Kaitlin Davis | Counselor | 1712 Pacific Ave Ste 102, Everett, WA 98201-4055 | 2019-06-19 |
| 1326608498 | Marlane Rembold | Counselor | 1712 Pacific Ave Ste 201, Everett, WA 98201-4055 | 2019-06-19 |
| Find all providers in EVERETT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.