Individual provider Active NPI

Paula A Daryanani, PSY.D.

  • Clinical Psychologist
  • Kaneohe, HI
National Provider Identifier
1083366652
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1973 Issued in HI
Practice address
46-359 Haiku Rd
Kaneohe, HI 96744-4253
Phone
(808) 272-4728
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY1973 HI Primary

Addresses

Primary practice location

46-359 Haiku Rd
Kaneohe, HI 96744-4253

Mailing address

PO Box 5113
Kaneohe, HI 96744-9113
Phone (808) 272-5550

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
I20220302002952 HI Practitioner - Clinical Psychologist 4486048782 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY1973HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gova LLC Multi-Specialty CurrentSince Jan 19, 2022 Accepting new patients
Dr. Paula Daryanani, Psychologist LLC Clinical CurrentSince Apr 9, 2024 Accepting new patients

Locations

615 Piikoi St
Ste 1605
Honolulu, HI 96814
Phone (808) 352-5050

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1083366652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5113",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967449113",
            "telephone_number": "808-272-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-359 HAIKU RD",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967444253",
            "telephone_number": "808-272-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARYANANI",
        "first_name": "PAULA",
        "middle_name": "A",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY1973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.