Individual provider Active NPI

Laura Marie Sturgis, PH.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1093839649
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY- 375 Issued in HI
Practice address
2851 E Manoa Rd
Suite 1-203
Honolulu, HI 96822-1858
Phone
(808) 988-6168
Fax
(808) 955-8155
NPI assigned
Mar 19, 2007
Sex
Female
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
Clinical Psychologist 103TC0700X PSY- 375 HI Primary

Addresses

Primary practice location

2851 E Manoa Rd
Suite 1-203
Honolulu, HI 96822-1858

Mailing address

2851 East Manoa Road
Suite 1-203
Honolulu, HI 96822-1858
Phone (808) 988-6168

Other identifiers 2

IdentifierTypeStateIssuer
A03223-3MedicaidHI
0000032235OtherHIHMSA

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
I20060105000307 HI Practitioner - Clinical Psychologist 0840213872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2851 E Manoa Rd
Suite 1 203
Honolulu, HI 96822-1858

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY- 375HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Transformational Living Centers CurrentSince Sep 1, 1992 Accepting new patients

Locations

2851 East Manoa Rd
Ste 1-203
Honolulu, HI 96822
Phone (808) 988-6167

Networks

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

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093839649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 EAST MANOA ROAD",
            "address_2": "SUITE 1-203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221858",
            "telephone_number": "808-988-6168",
            "fax_number": "808-955-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 E MANOA RD",
            "address_2": "SUITE 1-203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221858",
            "telephone_number": "808-988-6168",
            "fax_number": "808-955-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGIS",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY- 375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A03223-3",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000032235",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.