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

LicenseStateTypeSpecialty
PSY 781HIMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
557952-00OtherHIALOHA CARE PP
0000238907OtherHIHMSA HAWAII KAI OFFICE
5579-5200MedicaidHI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "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

All providers in Kailua, HI · Psychologist in Hawaii

Sources for this page

Verify at the official NPI Registry.