Amy KG Wassman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-1240 Issued in HI

Practice address

1001 Bishop St Ste 2870
Honolulu, HI 96813-3482

Phone

(808) 726-0750

Fax

(707) 948-6036

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy K Gamble Former name

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

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

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.

• Amy Wassman PSYD LLC

  • Psychologist
  • Honolulu, HI
  • NPI 1992208086
  Medicare reassignment NPD Authorized official
• Ke Ola Mamo

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1568655686
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194801951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST STE 2870",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133482",
            "telephone_number": "808-726-0750",
            "fax_number": "707-948-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST STE 2870",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133482",
            "telephone_number": "808-726-0750",
            "fax_number": "707-948-6036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 Ala Moana Blvd",
            "address_2": "Suite # 1016B",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968135419",
            "country_code": "US",
            "telephone_number": "808-469-4383",
            "fax_number": "808-531-4380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSMAN",
        "first_name": "AMY",
        "middle_name": "KG",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GAMBLE",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy P. Washington, CADAC
• William Washington, MD, MPH, FACPM
• Hiromi Washiyama
• Amanda Wasko, MD
• Glenn Michael Wasserman, MD, MPH
• Scott Dale Wassmer, COTA
• John T. Watabe, MD
• Shawn Watabu
• Travis Watai, M.D.
• Alyson S Watanabe, M.S., CCC-SLP

• Clinical Psychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.