Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candice Roquemore Bonner, PSYD, LCP

Individual provider Community/Behavioral Health Agency · NPI 1184253957

Candice Roquemore Bonner, PSYD, LCP is a Clinical Psychologist in Richmond, Virginia. Qualified in 2021, 5 years ago. Practices with Mcv Associated Physicians, a 1,767-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1000 E Broad St
Richmond, VA 23219-1930
Phone: (804) 828-2467
Fax: (804) 828-6690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8730 Stony Point Pkwy Ste 290, Richmond, VA 23235-1959 — (804) 327-1166

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810008266 (VA)
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1184253957
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LCP
Sole proprietorYes
NPI enumeratedApril 3, 2020
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice McV Associated Physicians — 1767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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