NPIMap

Organization Active NPI

Alan Wolfson MD LLC

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1336915867
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ALAN WOLFSON MD LLC
Practice address
1188 Bishop St Ste 3005
Honolulu, HI 96813-3312
Phone
(808) 745-1999
NPI assigned
Nov 27, 2023
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Alan WolfsonNPI 1376823955
Title
MD
Phone
(669) 235-7580

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1188 Bishop St Ste 3005
Honolulu, HI 96813-3312

Mailing address

1188 Bishop St Ste 3005
Honolulu, HI 96813-3312
Phone (808) 745-1999

Other practice location 1

447 52nd Ave S
St Petersburg, FL 33705-4951
Phone (808) 745-1999

Other identifiers 1

IdentifierTypeStateIssuer
007296MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231220000659 HI Part B Supplier - Clinic/Group Practice 9931559747 Receives reassigned benefits from 7 practitioners
Practice locations: Honolulu, HI
O20240917003444 FL Part B Supplier - Clinic/Group Practice 9931559747 Receives reassigned benefits from 3 practitioners
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1336915867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 3005",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133312",
            "telephone_number": "808-745-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 3005",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133312",
            "telephone_number": "808-745-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 52nd Ave S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337054951",
            "country_code": "US",
            "telephone_number": "808-745-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALAN WOLFSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "669-235-7580"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007296",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.