Individual provider Active NPI

Val J. Umphress, PH.D.

  • Clinical Psychologist
  • Aiea, HI
National Provider Identifier
1073653671
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
611 Issued in HI
Practice address
99-128 Aiea Heights Dr
Ste 305
Aiea, HI 96701-3933
Phone
(808) 488-9288
Fax
(808) 487-3106
NPI assigned
Feb 6, 2007
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 611 HI Primary

Addresses

Primary practice location

99-128 Aiea Heights Dr
Ste 305
Aiea, HI 96701-3933

Mailing address

99-128 Aiea Heights Dr
Ste 305
Aiea, HI 96701-3933
Phone (808) 488-9288

Other identifiers 7

IdentifierTypeStateIssuer
4535OtherHIALOHA CARE PROVIDER ID
634580OtherUTDESERET MUTUAL PROVIDERID
192947 I1OtherHIHMA PROVIDER ID
PSY611OtherHIQUEENS HEALTHCARE PLAN
002684MedicaidHI
0000213314OtherHIHMSA PROVIDER ID
2286575OtherMNCIGNA BEHAVIORAL HEALTH

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
I20060113000001 HI Practitioner - Clinical Psychologist 3072536291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Val J Umphress PHD LLCGroup PAC ID 8224210133, 2 clinicians

Practice addresses (Care Compare)

99 -128 Aiea Heights Dr
Suite 305
Aiea, HI 96701-3933
Phone 80848892884

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
611HIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Val J Umphress PHD LLC Clinical CurrentSince Jan 18, 2011 Accepting new patients

Locations

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

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1073653671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR",
            "address_2": "STE 305",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013933",
            "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": "99-128 AIEA HEIGHTS DR",
            "address_2": "STE 305",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013933",
            "telephone_number": "808-488-9288",
            "fax_number": "808-487-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMPHRESS",
        "first_name": "VAL",
        "middle_name": "J.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE PROVIDER ID",
            "identifier": "4535",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET MUTUAL PROVIDERID",
            "identifier": "634580",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA PROVIDER ID",
            "identifier": "192947 I1",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEENS HEALTHCARE PLAN",
            "identifier": "PSY611",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002684",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER ID",
            "identifier": "0000213314",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2286575",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.