David Jason Wittenberg, PSY.D.

Key facts

NPI

1295800639

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

PSY-597 (HI)

Practice address

1787 Wili PA Loop Ste 7
Wailuku, HI 96793-1271

Phone

(808) 249-2121

Fax

(808) 242-8920

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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.

• Aloha House, Inc. Mental Health Counselor · Kahului, HI · NPI 1972647477
  Medicare reassignment Care Compare group NPD HI
• Pacific Counseling Group, LLC Community/Behavioral Health Agency · Kihei, HI · NPI 1376311415
  Medicare reassignment NPD Authorized official HI

Medicare Care Compare profile

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aloha House, Inc. (15 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 18, 2025.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1295800639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 LILIUOKALANI ST",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 WILI PA LOOP STE 7",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931271",
            "telephone_number": "808-249-2121",
            "fax_number": "808-242-8920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Hookahi St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967931466",
            "country_code": "US",
            "telephone_number": "808-303-1361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTENBERG",
        "first_name": "DAVID",
        "middle_name": "JASON",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

• Dejona Wilson
• Sabrina Wilson
• Kimberley M. I. Wirsing, M.D.
• Noel J Withers, APRN
• Rachel G. Withers, PA C
• Heather Lee Wittenberg, PSY.D.
• King Wittman, LMT
• Michael Lucian Wojciechowski, OTR
• Marla R Wojtanowicz, LMFT
• Pamela D. Wolz, PA-C

All providers in Wailuku, HI · Clinical Psychologist in Hawaii