Duke E. Wagner,PH.D.,Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY298 Issued in HI

Legal business name

DUKE E. WAGNER,PH.D.,INC.

Practice address

970 N Kalaheo Ave
A204
Kailua, HI 96734-1801

Phone

(808) 254-5468

Fax

(808) 262-4437

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Duke Elvin Wagner, PH.D.NPI 1043425341

Title

President

Phone

(808) 254-5468

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duke Elvin Wagner, PH.D.

  • Psychologist
  • Kailua, HI
  • NPI 1043425341
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1356555791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2192",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967829192",
            "telephone_number": "808-254-5468",
            "fax_number": "808-262-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE",
            "address_2": "A204",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341801",
            "telephone_number": "808-254-5468",
            "fax_number": "808-262-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE E. WAGNER,PH.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DUKE",
        "authorized_official_middle_name": "ELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-254-5468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000003889",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00461901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Roger Palmer
• Ping Dravland
• Zara Duarte, LMT
• Ashley Dudoit, LMT
• Brinell Suzanne Duenas
• Charles Duke III
• Jessica Duke, MD
• Courtney Dumlao-Kapule
• Duncan E Macdonald MD, Inc
• Marlya Dunham

• Psychologist in Kailua, HI
• Providers in Kailua, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.