DR. CANDICE FERN PORTER (PHD) – Mental Health Counselor, NPI 1396855441

DR. CANDICE FERN PORTER (PHD) is a healthcare provider. based in Quincy, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 4106 (MA). The NPI Number for DR. CANDICE FERN PORTER (PHD) is 1396855441

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. CANDICE FERN PORTER (PHD)
NPI
1396855441
Phone
(617) 786-0137
Address
36 WESTON AVE
Enumeration Date
30 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812675003315
Graduation Year
1984 (42 years ago)
PAC ID
9335231364
Professional Enrollment ID
I20070822001227
Address ID
MA02021XXXXCAXXXXXXXXXX00
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. CANDICE FERN PORTER (PHD)

  • 36, Weston Avenue, Wollaston, North Quincy, Quincy, Norfolk County, Massachusetts, 02170, United States

    QUINCY, MA 021701833

    Phone: (617) 786-0137

    Fax: (617) 479-4798

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070822001227IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes16315$0
90837Psychotherapy, 1 hour9913$0
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Insurance plans in this area (ZIP 02170)

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Reviews

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Frequently asked questions

Does DR. CANDICE FERN PORTER (PHD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. CANDICE FERN PORTER (PHD) uses 1396855441.
Is DR. CANDICE FERN PORTER (PHD) listed as active for patients and plans?
The listing shows DR. CANDICE FERN PORTER (PHD) as active in the NPI system.
What is DR. CANDICE FERN PORTER (PHD)'s specialty?
The listing groups DR. CANDICE FERN PORTER (PHD) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect DR. CANDICE FERN PORTER (PHD) on a map?
Expect Quincy, Massachusetts as a primary anchor for DR. CANDICE FERN PORTER (PHD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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