Individual provider Active NPI

Lisa Lorene Hartwell-Tindle, PSYD, RN

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1437255676
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 800 Issued in HI
Practice address
1268 Young St
Suite 200
Honolulu, HI 96814-1801
Phone
(808) 384-3840
Fax
(888) 352-6787
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 800 HI Primary
General Practice Registered Nurse 163WG0000X RN 30736 HI

Addresses

Primary practice location

1268 Young St
Suite 200
Honolulu, HI 96814-1801

Mailing address

PO Box 30554
Honolulu, HI 96820-0554
Phone (808) 384-3840

Other names 1

  • Dr. Lisa Lorene Hartwell Professional name

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)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
PSY 800HIMDClinical Psychologist
RN 30736HIMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
David Stein M D PH D Inc Past Accepting new patients
Advanced Psychiatric Therapeutics PastSince Jun 1, 2019 Accepting new patients

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1437255676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30554",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968200554",
            "telephone_number": "808-384-3840",
            "fax_number": "808-591-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 YOUNG ST",
            "address_2": "SUITE 200",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141801",
            "telephone_number": "808-384-3840",
            "fax_number": "888-352-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWELL-TINDLE",
        "first_name": "LISA",
        "middle_name": "LORENE",
        "name_prefix": "Dr.",
        "credential": "PSYD, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY 800",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "HI",
            "license": "RN 30736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HARTWELL",
            "middle_name": "LORENE",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.