Organization Active NPI

Mary Myers PHD Inc

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1235517350
Registry record updated Dec 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MARY MYERS PHD INC
Practice address
1188 Bishop St Ste 3512
Honolulu, HI 96813-3314
Phone
(808) 550-0991
Fax
(808) 550-0992
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2023

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

Authorized official

Name
Mary K Myers, PHDNPI 1881667939
Title
Clinical Psychologist
Phone
(808) 550-0991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

1188 Bishop St Ste 3512
Honolulu, HI 96813-3314

Mailing address

1188 Bishop St Ste 3512
Honolulu, HI 96813-3314
Phone (808) 550-0991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230215001228 HI Part B Supplier - Clinic/Group Practice 1153790324 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1188 Bishop St
Ste 3512
Honolulu, HI 96813
Phone (808) 550-0991

1188 Bishop St
Ste 3206
Honolulu, HI 96813
Phone (808) 255-2604

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703980800000",
    "number": "1235517350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 3512",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133314",
            "telephone_number": "808-550-0991",
            "fax_number": "808-550-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 3512",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133314",
            "telephone_number": "808-550-0991",
            "fax_number": "808-550-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MYERS PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-550-0991",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.