Individual provider Active NPI

Charlotte Savage, PSY.D.

  • Clinical Psychologist
  • Waimanalo, HI
National Provider Identifier
1285870287
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-1709 Issued in HI
Practice address
41-1295 Kalanianaole Hwy
Waimanalo, HI 96795
Phone
(808) 259-7948
Fax
(808) 259-6449
NPI assigned
Dec 21, 2008
Last updated
Jun 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X PSY-1709 HI Primary
Social Worker 104100000X NU
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

41-1295 Kalanianaole Hwy
Waimanalo, HI 96795

Mailing address

41-1347 Kalanianaole Hwy Ste a
Waimanalo, HI 96795-1297
Phone (808) 954-7115

Other practice location 1

910 West Ave
Suite 6
Austin, TX 78701-2231
Phone (512) 900-0479

Other practice location 2

41-1347 Kalanianaole Hwy
Waimanalo, HI 96795-1247
Phone (808) 256-7948

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
I20181102002585 HI Practitioner - Clinical Psychologist 4789937079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

354 Uluniu St
Suite 412
Kailua, HI 96734-2533
Phone (808) 376-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-1709HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Makai Health & Wellness CurrentSince Jan 1, 2024 Accepting new patients
Waimanalo Health Center Psychologist Past Accepting new patients

Locations

354 Uluniu St
Ste 412
Kailua, HI 96734
Phone (800) 450-9799

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1285870287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-1347 KALANIANAOLE HWY STE A",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967951297",
            "telephone_number": "808-954-7115",
            "fax_number": "808-259-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-1295 KALANIANAOLE HWY",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "96795",
            "telephone_number": "808-259-7948",
            "fax_number": "808-259-6449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 West Ave",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787012231",
            "country_code": "US",
            "telephone_number": "512-900-0479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41-1347 Kalanianaole Hwy",
            "address_purpose": "LOCATION",
            "city": "Waimanalo",
            "state": "HI",
            "postal_code": "967951247",
            "country_code": "US",
            "telephone_number": "808-256-7948",
            "fax_number": "808-259-6449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "CHARLOTTE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-21",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1709",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waimanalo, HI

Sources for this page

Verify at the official NPI Registry.