Individual provider Active NPI

Eric Glenn Orr Sr., PH.D

  • Psychologist
  • Laie, HI
National Provider Identifier
1417107939
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1048 Issued in HI
Practice address
55-510 Kamehameha Hwy Ste 14
Laie, HI 96762-1197
Phone
(808) 780-6925
Fax
(808) 489-0926
NPI assigned
Sep 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1048 HI Primary

Addresses

Primary practice location

55-510 Kamehameha Hwy Ste 14
Laie, HI 96762-1197

Mailing address

55-060 Naupaka St
Laie, HI 96762-1127
Phone (808) 293-8696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1048HIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Koolau Counseling LLC Current Accepting new patients
Ohana Care Chiropractic LLC Past Accepting new patients

Locations

55-510 Kamehameha Hwy
Ste 14
Laie, HI 96762
Phone (808) 293-5555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1417107939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55-060 NAUPAKA ST",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621127",
            "telephone_number": "808-293-8696",
            "fax_number": "808-675-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-510 KAMEHAMEHA HWY STE 14",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621197",
            "telephone_number": "808-780-6925",
            "fax_number": "808-489-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "ERIC",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laie, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.