NPIMap

Organization Active NPI

Val J Umphress PHD LLC

  • Clinical Psychologist
  • Aiea, HI
National Provider Identifier
1003146374
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-611 Issued in HI
Legal business name
VAL J UMPHRESS PHD LLC
Practice address
98-211 Pali Momi St
Suite 810
Aiea, HI 96701-4301
Phone
(808) 488-9288
Fax
(808) 488-9288
NPI assigned
Jan 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Dr. Val J Umphress, PHDNPI 1073653671
Title
Member
Phone
(808) 372-8572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY-611 HI Primary

Addresses

Primary practice location

98-211 Pali Momi St
Suite 810
Aiea, HI 96701-4301

Mailing address

98-211 Pali Momi St
Suite 810
Aiea, HI 96701-4301
Phone (808) 488-9288

Other names 1

  • Val J. Umphress, Ph.D., LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110315000171 HI Part B Supplier - Clinic/Group Practice 8224210133 Receives reassigned benefits from 4 practitioners
Practice locations: Aiea, HI

National Provider Directory

National Provider Directory

Locations

98-211 Pali Momi St
Ste 810
Aiea, HI 96701
Phone (808) 372-8572

98-211 Pali Momi St
Ste 803
Aiea, HI 96701
Phone (808) 372-8572

99-128 Aiea Heights Dr
Ste 305
Aiea, HI 96701
Phone (808) 488-9288

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1003146374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST",
            "address_2": "SUITE 810",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014301",
            "telephone_number": "808-488-9288",
            "fax_number": "808-488-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST",
            "address_2": "SUITE 810",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014301",
            "telephone_number": "808-488-9288",
            "fax_number": "808-488-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAL J UMPHRESS PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "UMPHRESS",
        "authorized_official_first_name": "VAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-372-8572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Val J. Umphress, Ph.D., LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.