Mark Dichner PH D Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-315

Legal business name

MARK DICHNER PH D INC

Practice address

91-1009 Kaimoana St
Ewa Beach, HI 96706-6071

Phone

(808) 689-8811

Fax

(808) 689-0316

NPI assigned

Apr 19, 2010

Last updated

Jun 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie Clements Hayes Dichner

Title

Office Manager

Phone

(808) 689-8811

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Daniel Dichner, PH.D.

  • Clinical Psychologist
  • Ewa Beach, HI
  • NPI 1871674465
  Medicare reassignment NPD

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1518283365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1009 KAIMOANA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066071",
            "telephone_number": "808-689-8811",
            "fax_number": "808-689-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1009 KAIMOANA ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066071",
            "telephone_number": "808-689-8811",
            "fax_number": "808-689-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DICHNER PH D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "DICHNER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "CLEMENTS HAYES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-689-8811"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": "PSY-315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamaica Laguna Manuel
• Gregory Manzo, M.S.BCBA, LBA
• Caitlin Marcelo-Servito
• Margaret Hales, LMHC LLC
• Aurora C Mariani, M.D.
• Mark Y. Shimao, DDS, Inc.
• Colin Marsh
• Celeste Marshall
• Brandi-Lynn Martin
• Allysha Mae R Martinez, RN

• Clinical Psychologist in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.