Active NPI
Robert Woliver, PH.D.
- Psychologist
- Kaneohe, HI
National Provider Identifier
1487747036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY206
- Practice address
- 46-001 Kamehameha Hwy.
Suite 410
Kaneohe, HI 96744 - Phone
- (808) 235-5577
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY206 | HI | Primary |
Addresses
Primary practice location
46-001 Kamehameha Hwy.
Suite 410
Kaneohe, HI 96744
Mailing address
47-373 Mawaena St.
Kaneohe, HI 96744
Phone (808) 239-5577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045770-01 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY206 | HI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1487747036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47-373 MAWAENA ST.",
"city": "KANEOHE",
"state": "HI",
"postal_code": "96744",
"telephone_number": "808-239-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46-001 KAMEHAMEHA HWY.",
"address_2": "SUITE 410",
"city": "KANEOHE",
"state": "HI",
"postal_code": "96744",
"telephone_number": "808-235-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLIVER",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045770-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.