Individual provider Active NPI

Sarah Anne Novickis, PHD, LP, BCBA, LBA

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1013526664
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-2082 Issued in HI
Practice address
710 Green St
Honolulu, HI 96813-2119
Phone
(808) 536-1015
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA-405 HI
Clinical Psychologist 103TC0700X PSY-2082 HI Primary

Addresses

Primary practice location

710 Green St
Honolulu, HI 96813-2119

Mailing address

710 Green St
Honolulu, HI 96813-2119

Other practice location 1

200 N Vineyard Blvd # A-600
Honolulu, HI 96817-3950
Phone (808) 523-8188

Other names 1

  • Sarah Anne Engel Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231020001551 HI Practitioner - Clinical Psychologist 7810343217 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
BA-405HIMDBehavioral Analyst
PSY-2082HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamakua Health Center, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Hamakua Health Center, Inc. CurrentSince Dec 1, 2023 Accepting new patients

Locations

45-549 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7204

Networks

  • HI PPO

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1013526664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 GREEN ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 GREEN ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132119",
            "telephone_number": "808-536-1015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Vineyard Blvd # A-600",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968173950",
            "country_code": "US",
            "telephone_number": "808-523-8188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVICKIS",
        "first_name": "SARAH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD, LP, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "BA-405",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-2082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "ENGEL",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.