Charles Mueller, LICENSED PH. D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-350 Issued in HI

Practice address

2430 Campus Rd.
Department of Psychology
Honolulu, HI 96822

Phone

(808) 956-6727

Fax

(808) 956-4700

NPI assigned

Feb 12, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1205075397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 KILAUEA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162317",
            "telephone_number": "808-944-7760",
            "fax_number": "808-956-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 CAMPUS RD.",
            "address_2": "DEPARTMENT OF PSYCHOLOGY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96822",
            "telephone_number": "808-956-6727",
            "fax_number": "808-956-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "CHARLES",
        "credential": "LICENSED PH. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "PSY-350",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PSY-350",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRUST RISK MANAGEMENT SERVICES",
            "identifier": "11058-9002686",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaisha Siddiqua Mozumder, MD
• MPC Handitrans SVC. LLC
• MPT South LLC
• Vikram B. Mruthyunjayanna, M.D.
• Carl Phillip Mudrick, R.PH.
• Jonathan Jee Woon Mueller, PHD
• Kendra Mueller
• Kristi Leilani Mueller, PSY.D.
• Mark Miki Mugiishi, M.D.
• Muh Health LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.