Individual provider Active NPI

Heike Kholooci, PSY.D.

  • Clinical Psychologist
  • Kihei, HI
National Provider Identifier
1083942577
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 23131 Issued in CA
Practice address
140 Uwapo Rd Apt 36-201
Kihei, HI 96753-7440
Phone
(808) 830-6550
NPI assigned
Nov 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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 PSY 23131 CA Primary

Addresses

Primary practice location

140 Uwapo Rd Apt 36-201
Kihei, HI 96753-7440

Mailing address

140 Uwapo Rd Apt 36-201
Kihei, HI 96753-7440
Phone (808) 830-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100125000213 CA Practitioner - Clinical Psychologist 6800938143 Practice locations: Newport Beach, CA
I20190907000397 HI Practitioner - Clinical Psychologist 6800938143 Reassigns benefits to 1 organization
Practice locations: Kihei, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of California, San Diego School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1325 S Kihei Rd
Suite 221
Kihei, HI 96753-8145
Phone (808) 830-6550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY 23131CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heike Kholooci, PSYD LLC Clinical CurrentSince Dec 24, 2025 Accepting new patients

Locations

1325 S Kihei Rd
Ste 221
Kihei, HI 96753
Phone (808) 830-6550

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1083942577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 UWAPO RD APT 36-201",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537440",
            "telephone_number": "808-830-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 UWAPO RD APT 36-201",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537440",
            "telephone_number": "808-830-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOLOOCI",
        "first_name": "HEIKE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 23131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

Verify at the official NPI Registry.