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CANDICE LANELL BAIN MT-BC, PSYD
NPI 1962875674
Clinical Neuropsychologist in Berkeley, CA

Active since November 03, 2015PECOS EnrolledAccepts Medicare Assignment
1918 UNIVERSITY AVE STE 2B, BERKELEY, CA 94704(510) 548-9716 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Sep 23, 2024, Aug 1, 2022 and 2 more (5 updates tracked since 2019).

About Candice Lanell Bain Mt-bc, Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE LANELL BAIN MT-BC, PSYD (NPI 1962875674) is an individual clinical neuropsychologist in Berkeley, California, licensed in California (35340) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vacaville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962875674
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameCANDICE LANELL BAINCredential: MT-BC, PSYD
Location Address1918 UNIVERSITY AVE STE 2BBerkeley, CA 94704-3264
Mailing Address1918 University Ave Ste 2bBerkeley, CA 94704-3264
Phone(510) 548-9716
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 3, 2015
Last NPPES UpdateSeptember 19, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1962875674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · 35340
Definition
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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 35340 (CA)
Also ListedMusic TherapistTaxonomy 225A00000X · License 12038 (CA)
1918 UNIVERSITY AVE STE 2B, Berkeley, CA 94704
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Secondary Practice Location 1

Location 11600 California DrVacaville, CA 95687 · Phone (707) 448-6841 ext. 2973

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Candice Lanell Bain Mt-bc, Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446752331
PECOS Enrollment IDI20250909001496
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JESSICA AHMED MA
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 841-1262
NATHANIEL TOPPELBERG
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 841-1262
VANESSA RUIZ
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 841-1262
DANIELLE CHERNICK
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 548-9716
YAEL TAMAR GOLDSTEIN
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 841-1262
VANESSA RAFANAN MS
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 841-1262
LAURYN MINETA
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 548-9716
JENNA POLIDORO
Student in an Organized Health Care Education/Training Program
1918 UNIVERSITY AVE STE 2B
BERKELEY, CA 94704
Alameda County (510) 841-1262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Bain's NPI number?

The NPI number for Candice Bain is 1962875674. It was assigned to this individual provider in the NPPES registry on November 3, 2015.

Where is Candice Bain located?

Candice Bain practices at 1918 University Ave Ste 2B, Berkeley, CA 94704. The listed phone number is (510) 548-9716.

What is Candice Bain's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Candice Bain enrolled in Medicare?

Yes. Candice Bain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Candice Bain was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.