Thomas Alan Cummings, PH.D.
Individual provider Active NPI Psychologist · Kailua, HI
NPI 1366596173 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1366596173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY 781 (HI)
- Practice address
- 328 Uluniu St
Suite 207
Kailua, HI 96734-2547 - Phone
- (808) 292-0962
- Fax
- (808) 738-5821
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 781 | HI | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 781 | HI | Yes |
Addresses
Primary practice location
328 Uluniu St
Suite 207
Kailua, HI 96734-2547
Mailing address
589 Iana St
Kailua, HI 96734-3408
Phone (808) 292-0962
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 557952-00 | Other | HI | ALOHA CARE PP |
| 0000238907 | Other | HI | HMSA HAWAII KAI OFFICE |
| 5579-5200 | Medicaid | HI |
NPI Registry JSON
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1366596173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "589 IANA ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967343408",
"telephone_number": "808-292-0962",
"fax_number": "808-738-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 ULUNIU ST",
"address_2": "SUITE 207",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342547",
"telephone_number": "808-292-0962",
"fax_number": "808-738-5821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "THOMAS",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY 781",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHA CARE PP",
"identifier": "557952-00",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA HAWAII KAI OFFICE",
"identifier": "0000238907",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5579-5200",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.