Individual provider Active NPI

Suzanne Jane Gelb, PH.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1255503157
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY587 Issued in HI
Practice address
1750 Kalakaua Ave
Suite 3203
Honolulu, HI 96826-3766
Phone
(808) 943-2994
Fax
(808) 356-0549
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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 PSY587 HI Primary

Addresses

Primary practice location

1750 Kalakaua Ave
Suite 3203
Honolulu, HI 96826-3766

Mailing address

1750 Kalakaua Ave
Suite 3203
Honolulu, HI 96826-3766
Phone (808) 943-2994

Other identifiers 1

IdentifierTypeStateIssuer
20843-9OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2019 through Apr 1, 2027

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1255503157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 KALAKAUA AVE",
            "address_2": "SUITE 3203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263766",
            "telephone_number": "808-943-2994",
            "fax_number": "808-356-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 KALAKAUA AVE",
            "address_2": "SUITE 3203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263766",
            "telephone_number": "808-943-2994",
            "fax_number": "808-356-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELB",
        "first_name": "SUZANNE",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "20843-9",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.