Individual provider Active NPI

Shawna Ledward, PSYD

  • Psychologist
  • Ewa Beach, HI
National Provider Identifier
1356380810
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-860 Issued in HI
Practice address
91-3575 Kauluakoko Unit 1108
Ewa Beach, HI 96706-5856
Phone
(808) 294-0495
Fax
(808) 439-6869
NPI assigned
Jun 6, 2006
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY-860 HI Primary

Addresses

Primary practice location

91-3575 Kauluakoko Unit 1108
Ewa Beach, HI 96706-5856

Mailing address

91-3575 Kauluakoko Unit 1108
Ewa Beach, HI 96706-5856
Phone (808) 204-0495

Other identifiers 1

IdentifierTypeStateIssuer
523979MedicaidHI

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
I20060925000625 HI Practitioner - Clinical Psychologist 4981609948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

91 -3575 Kauluakoko St
Unit 1108
Ewa Beach, HI 96706-5856
Phone (808) 294-0495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-860HIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychology Services, LLC CurrentSince Sep 21, 2018 Accepting new patients
Islands Hospice, Inc. PastSince Jun 1, 2013 Accepting new patients

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1356380810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-3575 KAULUAKOKO UNIT 1108",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065856",
            "telephone_number": "808-204-0495",
            "fax_number": "808-439-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-3575 KAULUAKOKO UNIT 1108",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065856",
            "telephone_number": "808-294-0495",
            "fax_number": "808-439-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDWARD",
        "first_name": "SHAWNA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523979",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

Verify at the official NPI Registry.