DR. CANDICE NATTLAND (PSY.D.) – Psychologist, NPI 1114947561

DR. CANDICE NATTLAND (PSY.D.) is a healthcare provider. based in Verona, New Jersey. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 2103 (NJ). The NPI Number for DR. CANDICE NATTLAND (PSY.D.) is 1114947561

Main info

Female
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. CANDICE NATTLAND (PSY.D.)
NPI
1114947561
Phone
(973) 783-2110
Address
25 GROVE AVE
Enumeration Date
20 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9737832110
Graduation Year
1984 (42 years ago)
PAC ID
4789629106
Professional Enrollment ID
I20050624000967
Address ID
NJ078322039CO173XX46XX300
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

963 CLINICAL PSYCHOLOGIST in NJ

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Provider Addresses for DR. CANDICE NATTLAND (PSY.D.)

  • 25, Grove Avenue, Verona, Essex County, New Jersey, 07044, United States

    VERONA, NJ 070441631

    Phone: (973) 783-2110

    Fax: (908) 475-3328

    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: 2005-06-24

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
I20050624000967IClinical PsychologistNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07044)

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Reviews

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Frequently asked questions

What is the standard ID for DR. CANDICE NATTLAND (PSY.D.) in the U.S.?
In the U.S., DR. CANDICE NATTLAND (PSY.D.) is identified by NPI 1114947561.
Is DR. CANDICE NATTLAND (PSY.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. CANDICE NATTLAND (PSY.D.) as active.
What services align with DR. CANDICE NATTLAND (PSY.D.)'s listing?
DR. CANDICE NATTLAND (PSY.D.)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CANDICE NATTLAND (PSY.D.)?
The directory associates DR. CANDICE NATTLAND (PSY.D.) with Verona, New Jersey. Check all listed addresses for suites or satellite offices.
Can I export DR. CANDICE NATTLAND (PSY.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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