Active NPI
Carmenne Chiasson PHD Inc
- Clinical Psychologist
- Kailua, HI
National Provider Identifier
1073914941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-645
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Honolulu, HI
- NPI 1881667939
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.