Individual provider Active NPI

Steven William Pappas, PSYD

  • Clinical Psychologist
  • Kapaa, HI
National Provider Identifier
1174918361
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1829 Issued in HI
Practice address
4504 Kukui St Ste 202
Kapaa, HI 96746-1701
Phone
(415) 218-2964
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PSB35886 CA
Behavior Analyst 103K00000X
Clinical Psychologist 103TC0700X PSB35886 CA
Clinical Psychologist 103TC0700X 1829 HI Primary

Addresses

Primary practice location

4504 Kukui St Ste 202
Kapaa, HI 96746-1701

Mailing address

4875 Aliali Rd
Kapaa, HI 96746-2432
Phone (415) 218-2964

Other practice location 1

210 Ward Ave Ste 219B
Honolulu, HI 96814-4003
Phone (415) 218-2964

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
I20200128002759 HI Practitioner - Clinical Psychologist 3678909397 Practice locations: Kapaa, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSB35886CAMDClinical Psychologist
1829HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Steven Pappas CurrentSince Jan 21, 2024 Accepting new patients

Locations

4504 Kukui St
Ste 202
Kapaa, HI 96746
Phone (415) 218-2964

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1174918361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 ALIALI RD",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967462432",
            "telephone_number": "415-218-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 KUKUI ST STE 202",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461701",
            "telephone_number": "415-218-2964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Ward Ave Ste 219B",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144003",
            "country_code": "US",
            "telephone_number": "415-218-2964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "PSB35886",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB35886",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaa, HI

Sources for this page

Verify at the official NPI Registry.