NPIMap

Organization Active NPI

Psyche, Inc.

Doing business as Psyche, Inc. dba Gail D Ingram, M.D.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Honolulu, HI
National Provider Identifier
1114105848
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MD7761 Issued in HI
Legal business name
PSYCHE, INC.
Doing business as
Psyche, Inc. dba Gail D Ingram, M.D.
Practice address
3809 Sierra Dr
Honolulu, HI 96816-3819
Phone
(808) 737-3737
Fax
(808) 737-3737
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Gail Denise Ingram, M.D.NPI 1902928302
Title
Owner
Phone
(808) 737-3737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MD7761 HI Primary

Addresses

Primary practice location

3809 Sierra Dr
Honolulu, HI 96816-3819

Mailing address

3809 Sierra Dr
Honolulu, HI 96816-3819
Phone (808) 737-3737

Other names 1

  • Psyche, Inc. dba Gail D Ingram, M.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1114105848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 SIERRA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163819",
            "telephone_number": "808-737-3737",
            "fax_number": "808-737-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 SIERRA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163819",
            "telephone_number": "808-737-3737",
            "fax_number": "808-737-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-737-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "HI",
            "license": "MD7761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psyche, Inc. dba Gail D Ingram, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.