Richard Garcia Jr., PSY.D.
Individual provider Active NPI Clinical Psychologist · Wailuku, HI
NPI 1457531535 · NPPES record last updated May 26, 2021
Key facts
- NPI
- 1457531535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY00003790 (WA)
- Practice address
- 55 Maui Lani Pkwy
Wailuku, HI 96793-2416 - Phone
- (808) 243-6000
- NPI assigned
- Nov 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan Inc
Practice addresses (Care Compare)
55 Maui Lani Pkwy
Wailuku, HI 96793-2416
Phone (808) 243-6171
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171229001577 | HI | Practitioner - Clinical Psychologist | 0143588897 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00003790 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan, Inc. | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients |
Locations
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600
55 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 243-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00003790 | WA | Yes |
Addresses
Primary practice location
55 Maui Lani Pkwy
Wailuku, HI 96793-2416
Mailing address
55 Maui Lani Pkwy
Wailuku, HI 96793-2416
Phone (808) 243-6000
Other practice location 1
365 118th Ave SE
Suite 118
Bellevue, WA 98005-3557
Phone (206) 214-7553
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Wailuku, HI
- Kelli Ganiko
- Jennifer Noelani Garcia-Osuna
- Daniel Garcia
- Heidi Kyoko Garcia
- Joyce Garcia
- Stephanie Hokulani Garcia
- Russell Garn
- Melissa Njeri Gathura
- Sue Gears
- Roy Steven Genatt
All providers in Wailuku, HI · Clinical Psychologist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.