Individual provider Active NPI

Mary Ann Hill, PHD

  • Clinical Psychologist
  • Lihue, HI
National Provider Identifier
1336220334
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
696 Issued in HI
Practice address
2970 Kele St
#201
Lihue, HI 96766-1803
Phone
(808) 245-7225
Fax
(866) 797-1194
NPI assigned
Oct 17, 2006
Last updated
May 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2010

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 696 HI Primary

Addresses

Primary practice location

2970 Kele St
#201
Lihue, HI 96766-1803

Mailing address

2970 Kele St
#201
Lihue, HI 96766-1803
Phone (808) 245-7225

Other identifiers 2

IdentifierTypeStateIssuer
H103140OtherHIMEDICARE
58209001MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20260605000129 KY Practitioner - Clinical Psychologist 4981700309 Practice locations: Bowling Green, KY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

247 Indian Hills Dr
Bowling Green, KY 42103-1355
Phone (808) 634-4968

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
696HIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1336220334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 KELE ST",
            "address_2": "#201",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661803",
            "telephone_number": "808-245-7225",
            "fax_number": "866-797-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 KELE ST",
            "address_2": "#201",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661803",
            "telephone_number": "808-245-7225",
            "fax_number": "866-797-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H103140",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58209001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.