Lisa Ann Duke, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1154 Issued in HI

Practice address

2176 Lauwiliwili St Ste 1
Kapolei, HI 96707

Phone

(808) 226-8204

Fax

(808) 888-8551

NPI assigned

Nov 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI, TX2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yakutat Tribal Health BoardGroup PAC ID 4981968369, 11 clinicians

Waianae District Comprehensive Health and Hospital Board IncorporatedGroup PAC ID 9931008349, shared by 17 NPIs, 162 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Lisa Duke PHD LLC

  • Clinical Psychologist
  • Kapolei, HI
  • NPI 1184942849
  Medicare reassignment NPD Authorized official
• Yakutat Tribal Health Board

  dba Yakutat Community Health Center

  • Clinic/Center
  • Yakutat, AK
  • NPI 1871529628

  TX

  Medicare reassignment Care Compare group NPD
• Waianae District Comprehensive Health and Hospital Board, Inc

  dba Waianae Coast Comprehensive Health Center

  • Family Medicine Physician
  • Waianae, HI
  • NPI 1275566424
  Medicare reassignment NPD
• Waianae District Comprehensive Health and Hospital Board, Inc

  dba Waianae Intermediate School School-based Health Center

  • Federally Qualified Health Center (FQHC)
  • Waianae, HI
  • NPI 1851764179
  NPD
• Waianae District Comprehensive Health and Hospital Board, Incorporated

  dba Waianae Elementary School

  • Federally Qualified Health Center (FQHC)
  • Waianae, HI
  • NPI 1710709365
  NPD

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1417284514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-1485 ALIINUI DR APT H",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072239",
            "telephone_number": "808-226-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 LAUWILIWILI ST STE 1",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "96707",
            "telephone_number": "808-226-8204",
            "fax_number": "808-888-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Kamokila Blvd",
            "address_2": "Suite 151",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967072014",
            "country_code": "US",
            "telephone_number": "808-226-8204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKE",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "HI",
            "license": "1154",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY 1154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Drug, Alcohol, Mental Health Counseling & Evaluation Services, Inc
• DSM Therapeutic and Wellness Center LLC
• Ivrys Dukes, DNP, FNP-BC, APRN-RX
• Samantha Duncan, RDH
• Jennifer Duncanson
• Hiromi O Dunn, M.S., CCC-SLP
• Meynard L Duyao, RN

• Clinical Neuropsychologist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Clinical Neuropsychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.