Claren Kuulei Kealoha-Beaudet, PSYD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1040 Issued in HI

Practice address

64-1035 Mamalahoa Hwy Ste F
Kamuela, HI 96743-8440

Phone

(808) 885-5900

Fax

(808) 885-6900

NPI assigned

Apr 14, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Five Mountains Hawaii, IncGroup PAC ID 4880817840, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• HI PPO

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/17479dfb-b021-49d0-9c8a-9247a410a2a3/
• FHIR API: https://fhir4.healow.com/fhir/r4/JCIEDD/Endpoint/JCIEDD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Five Mountains Hawaii, Inc

  • Rural Health Clinic/Center
  • Kamuela, HI
  • NPI 1215359989

  Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Five Mountains Hawaii, Inc

  • Rural Health Clinic/Center
  • Kamuela, HI
  • NPI 1215359989

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1003080771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "address_2": "#4",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967430818",
            "telephone_number": "808-885-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1035 MAMALAHOA HWY STE F",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438440",
            "telephone_number": "808-885-5900",
            "fax_number": "808-885-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEALOHA-BEAUDET",
        "first_name": "CLAREN",
        "middle_name": "KUULEI",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Kaniho, OTR
• Soon-Ja Kaohimaunu, APRN, PMHNP-BC
• Steven Clyde Kaplan, M.D.
• Karuna MD LLC
• Luana Keakealani, LCSW
• Elizabeth Kehau Kealoha, RN, IBCLC
• Kealohanani LLC
• Keiki Therapy LLC
• Nicholas David Kennedy, M.D.
• Kenneth J Fischer O D Inc

• Clinical Psychologist in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.