Individual provider Active NPI

Steven Edward Geller, PH.D.

  • Clinical Psychologist
  • Lahaina, HI
National Provider Identifier
1497724090
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1395 Issued in HI
Practice address
181 Lahainaluna Rd
Suite K
Lahaina, HI 96761-1585
Phone
(808) 661-8141
Fax
(808) 568-2598
NPI assigned
Mar 16, 2006
Last updated
Jul 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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 1954 WA
Clinical Psychologist 103TC0700X 1395 HI Primary

Addresses

Primary practice location

181 Lahainaluna Rd
Suite K
Lahaina, HI 96761-1585

Mailing address

181 Lahainaluna Rd
Suite K
Lahaina, HI 96761-1585
Phone (808) 661-8141

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1395HIMDClinical Psychologist
1954WAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1497724090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 LAHAINALUNA RD",
            "address_2": "SUITE K",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611585",
            "telephone_number": "808-661-8141",
            "fax_number": "808-568-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 LAHAINALUNA RD",
            "address_2": "SUITE K",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967611585",
            "telephone_number": "808-661-8141",
            "fax_number": "808-568-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "1954",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lahaina, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.