Individual provider Active NPI

Paul Unkrur, PHD

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1083773543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 633 Issued in HI
Practice address
1150 S King St Ste 908
Honolulu, HI 96814-1953
Phone
(808) 597-1999
Fax
(808) 597-1201
NPI assigned
Dec 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 633 HI Primary

Addresses

Primary practice location

1150 S King St Ste 908
Honolulu, HI 96814-1953

Mailing address

1150 S King St Ste 908
Honolulu, HI 96814-1953
Phone (808) 597-1999

Other identifiers 3

IdentifierTypeStateIssuer
PSY633OtherHIMDX HAWAII
022380-0OtherHIHMSA - BLUE CROSS BLUE SH
249721-01MedicaidHI

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
I20040514000240 HI Practitioner - Clinical Psychologist 2163412909 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1837 Kalakaua Ave
Apt 604
Honolulu, HI 96815-1514
Phone (808) 591-0281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY 633HIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mina Ganapathy MD LLC Past Accepting new patients
Mina Ganapathy MD Inc Past Accepting new patients

Networks

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

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, 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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083773543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S KING ST STE 908",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141953",
            "telephone_number": "808-597-1999",
            "fax_number": "808-597-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S KING ST STE 908",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141953",
            "telephone_number": "808-597-1999",
            "fax_number": "808-597-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNKRUR",
        "first_name": "PAUL",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY 633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDX HAWAII",
            "identifier": "PSY633",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA - BLUE CROSS BLUE SH",
            "identifier": "022380-0",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249721-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.