Organization Active NPI

Carmenne Chiasson PHD Inc

  • Clinical Psychologist
  • Kailua, HI
National Provider Identifier
1073914941
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-645 Issued in HI
Legal business name
CARMENNE CHIASSON PHD INC
Practice address
389 Kaimake Loop
Kailua, HI 96734-2018
Phone
(808) 589-9158
Fax
(808) 550-0992
NPI assigned
Sep 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Ms. Carmenne Anne Chiasson, PH.D.NPI 1689076739
Title
Psychologist
Phone
(808) 589-9158

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: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY-645 HI Primary

Addresses

Primary practice location

389 Kaimake Loop
Kailua, HI 96734-2018

Mailing address

1188 Bishop St Ste 3512
Honolulu, HI 96813-3314
Phone (808) 589-9158

Other practice location 1

1188 Bishop St Ste 3512
Honolulu, HI 96813-3314
Phone (808) 589-9158

Other names 1

  • Carmenne Chiasson, PhD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240226004054 HI Part B Supplier - Clinic/Group Practice 8729466230 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI; Kailua, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1073914941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 3512",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133314",
            "telephone_number": "808-589-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 KAIMAKE LOOP",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342018",
            "telephone_number": "808-589-9158",
            "fax_number": "808-550-0992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1188 Bishop St Ste 3512",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968133314",
            "country_code": "US",
            "telephone_number": "808-589-9158",
            "fax_number": "808-550-0992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARMENNE CHIASSON PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "CHIASSON",
        "authorized_official_first_name": "CARMENNE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-589-9158",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmenne Chiasson, PhD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carmenne Chiasson, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.