Individual provider Active NPI

Tammie Noelani Perreira, PSY.D.

  • Clinical Psychologist
  • Waimanalo, HI
National Provider Identifier
1093031262
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1178 Issued in HI
Practice address
41-1610 Kalanianaole Hwy Ste 104
Waimanalo, HI 96795-1190
Phone
(808) 542-5624
NPI assigned
Apr 13, 2010
Last updated
May 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2011

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 1178 HI Primary

Addresses

Primary practice location

41-1610 Kalanianaole Hwy Ste 104
Waimanalo, HI 96795-1190

Mailing address

PO Box 810
Waimanalo, HI 96795-0810
Phone (808) 542-5624

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
I20141212000148 HI Practitioner - Clinical Psychologist 7911229497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waimanalo Health CenterGroup PAC ID 8527029198, 27 clinicians

Practice addresses (Care Compare)

41 1347 Kalanianaole
Waimanalo, HI 96795-1247

41-1347 Kalanianaole Hwy
Waimanalo, HI 96795-1247
Phone (808) 259-7948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1178HIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaiian Psychology LLC Clinical CurrentSince Jun 23, 2025 Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: tammie.perreira.p1@direct.waimanalohealth.nextgenshare.com

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": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1093031262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967950810",
            "telephone_number": "808-542-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-1610 KALANIANAOLE HWY STE 104",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967951190",
            "telephone_number": "808-542-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREIRA",
        "first_name": "TAMMIE",
        "middle_name": "NOELANI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waimanalo, HI

Sources for this page

Verify at the official NPI Registry.