Individual provider Active NPI

Carroll J. Diebold, M.D.

  • Forensic Psychiatry Physician
  • Tripler Army Medical Center, HI
National Provider Identifier
1437135993
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
MD045522E Issued in PA
Practice address
1 Jarrett White Road
Department of Psychiatry (MCHK-PS)
Tripler Army Medical Center, HI 96859-5000
Phone
(808) 433-6406
Fax
(808) 433-4591
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X MD045522E PA Primary

Addresses

Primary practice location

1 Jarrett White Road
Department of Psychiatry (MCHK-PS)
Tripler Army Medical Center, HI 96859-5000

Mailing address

95-518 Poiki PL
Mililani, HI 96789-1882
Phone (808) 433-6406

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 Medicine

State licenses

LicenseStateTypeSpecialty
MD045522EPAMDForensic Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1437135993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-518 POIKI PL",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891882",
            "telephone_number": "808-433-6406",
            "fax_number": "808-433-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE ROAD",
            "address_2": "DEPARTMENT OF PSYCHIATRY (MCHK-PS)",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595000",
            "telephone_number": "808-433-6406",
            "fax_number": "808-433-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEBOLD",
        "first_name": "CARROLL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "PA",
            "license": "MD045522E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.