CANDICE LANELL BAIN MT-BC PSYD NPI 1962875674

NPI Information

  • NPI: 1962875674
  • Provider Name: CANDICE LANELL BAIN, MT-BC, PSYD
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1918 UNIVERSITY AVE STE 2B
    BERKELEY, CA
    ZIP 94704
  • Phone: (510) 548-9716

Map and Directions

Get Directions

NPI Details

Candice Lanell Bain, MT-BC, PSYD is a clinical neuropsychologist in Berkeley, CA with 3 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Candice Lanell Bain, MT-BC, PSYD NPI is 1962875674. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1918 UNIVERSITY AVE STE 2B
BERKELEY, CA
ZIP 94704-264
Phone: (510) 548-9716

The NPI 1962875674 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/3/2015 and was last updated on 9/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225A00000XMusic Therapist12038CALIFORNIANo
2103TC0700XPsychologistClinical35340CALIFORNIANo
3103G00000XClinical Neuropsychologist35340CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI