Individual provider Active NPI

Olaf Knut Gitter, PH.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1225181332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-151 Issued in HI
Practice address
1350 S King St
Suite 325
Honolulu, HI 96814-2009
Phone
(808) 591-9116
Fax
(808) 591-9655
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PSY-151 HI Primary

Addresses

Primary practice location

1350 S King St
Suite 325
Honolulu, HI 96814-2009

Mailing address

1350 S King St
Suite 325
Honolulu, HI 96814-2009
Phone (808) 591-9116

Other identifiers 3

IdentifierTypeStateIssuer
07059701MedicaidHI
PSY-151-02OtherHIMDX
E09178-4OtherHIHMSA

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
I20120221000607 HI Practitioner - Clinical Psychologist 1658539762 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY-151HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Therapeutics CurrentSince Jun 1, 2019 Accepting new patients
David Stein M D PH D Inc CurrentSince Aug 1, 2002 Accepting new patients

Locations

928 Nuuanu Ave
Honolulu, HI 96817
Phone (808) 286-2112

1164 Bishop St
Ste 1611
Honolulu, HI 96813
Phone (808) 261-7792

1350 S King St
Ste 325
Honolulu, HI 96814
Phone (808) 591-9116

40 Aulike St
Ste 312
Kailua, HI 96734
Phone (808) 261-7792

Networks

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

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225181332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S KING ST",
            "address_2": "SUITE 325",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142009",
            "telephone_number": "808-591-9116",
            "fax_number": "808-591-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S KING ST",
            "address_2": "SUITE 325",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142009",
            "telephone_number": "808-591-9116",
            "fax_number": "808-591-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTER",
        "first_name": "OLAF",
        "middle_name": "KNUT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07059701",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDX",
            "identifier": "PSY-151-02",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "E09178-4",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.