Dr Susan Hall Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY377 Issued in HI

Legal business name

DR SUSAN HALL INC

Practice address

4566 Ohia St
Kapaa, HI 96746-1646

Phone

(808) 651-4860

Fax

(808) 822-7048

NPI assigned

Feb 22, 2007

Last updated

Aug 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan L Hall, PH. D.NPI 1588799373

Title

President

Phone

(808) 394-6206

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan L Hall, PH. D.

  • Psychologist
  • Kapa'a, HI
  • NPI 1588799373
  Authorized official Same address or phone
• Robert J Brown, PHD

  • Psychologist
  • Kapa'a, HI
  • NPI 1326016205
  NPD (past)
• James E Hall, PHD

  • Forensic Psychologist
  • Lihue, HI
  • NPI 1932206547
  NPD (past)
• Shelly Ludolph, PSYD

  • Clinical Psychologist
  • Lihue, HI
  • NPI 1346784147
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1093840894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26049",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968256049",
            "telephone_number": "808-394-6206",
            "fax_number": "808-394-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 OHIA ST",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461646",
            "telephone_number": "808-651-4860",
            "fax_number": "808-822-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SUSAN HALL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-394-6206",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52102205",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SVC ASSN",
            "identifier": "00F0235942",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trudy Kuuipohhelena Desilva
• Heidi Dolezal, M.P.T.
• Marla Kessler Domingo, BED
• Puakea Michelle Domingo
• Anne Dorre, PH.D.
• Dr. Steven Pappas
• Carole L. Duby, L.M.T
• Cristina Ellorin Dullaga, CAREGIVER
• Amy Duprey, AP,CMT, AYURDOULA
• William Trent Ellis-Elgart

• Psychologist in Kapa'a, HI
• Providers in Kapa'a, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.