Individual provider Active NPI

Terri L Needels, PHD

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1245220987
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY261 Issued in HI
Practice address
615 Piikoi St
Ste 1603
Honolulu, HI 96814-3116
Phone
(808) 596-8778
Fax
(808) 596-8558
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY261 HI Primary

Addresses

Primary practice location

615 Piikoi St
Ste 1603
Honolulu, HI 96814-3116

Mailing address

615 Piikoi St
Ste 1603
Honolulu, HI 96814-3116
Phone (808) 596-8778

Other identifiers 2

IdentifierTypeStateIssuer
01168102MedicaidHI
12245OtherNMSA

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
I20060106000679 HI Practitioner - Clinical Psychologist 7012930803 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

615 Piikoi St
Suite 1603
Honolulu, HI 96814-3142
Phone (808) 596-8778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY261HIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1245220987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "STE 1603",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143116",
            "telephone_number": "808-596-8778",
            "fax_number": "808-596-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "STE 1603",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143116",
            "telephone_number": "808-596-8778",
            "fax_number": "808-596-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDELS",
        "first_name": "TERRI",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01168102",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NMSA",
            "identifier": "12245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.