Individual provider Active NPI

Greta Lynne Kugler, PSY.D., PSY.M.

  • Clinical Psychologist
  • Kapa'a, HI
National Provider Identifier
1184999286
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1286 Issued in HI
Practice address
4-1101 Kuhio Hwy
#1271
Kapaa, HI 96746-4600
Phone
(808) 482-4998
NPI assigned
Mar 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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 1286 HI Primary

Addresses

Primary practice location

4-1101 Kuhio Hwy
#1271
Kapaa, HI 96746-4600

Mailing address

3094 Elua St
Lihue, HI 96766-1209
Phone (808) 245-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 26, 2019 through Dec 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1286HIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Young Women's Christian Association Past Accepting new patients
Young Women's Christian Association of Kauai Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1184999286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 ELUA ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661209",
            "telephone_number": "808-245-5959",
            "fax_number": "808-245-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-1101 KUHIO HWY",
            "address_2": "#1271",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967464600",
            "telephone_number": "808-482-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUGLER",
        "first_name": "GRETA",
        "middle_name": "LYNNE",
        "credential": "PSY.D., PSY.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapa'a, HI

Sources for this page

Verify at the official NPI Registry.