Individual provider Active NPI

Allen Robert Neiman, M.D.

  • Prescribing (Medical) Psychologist
  • Honolulu, HI
National Provider Identifier
1528338092
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
MD-4797 Issued in HI
Practice address
1717 Mott-Smith Dr
#3314
Honolulu, HI 96822-2873
Phone
(808) 528-0737
Fax
(808) 521-3174
NPI assigned
Dec 30, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MD-4797 HI
Prescribing (Medical) Psychologist 103TP0016X MD-4797 HI Primary

Addresses

Primary practice location

1717 Mott-Smith Dr
#3314
Honolulu, HI 96822-2873

Mailing address

1717 Mott-Smith Dr
#3314
Honolulu, HI 96822-2873
Phone (808) 528-0737

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-4797HIMDPrescribing (Medical) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1528338092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MOTT-SMITH DR",
            "address_2": "#3314",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222873",
            "telephone_number": "808-528-0737",
            "fax_number": "808-521-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MOTT-SMITH DR",
            "address_2": "#3314",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222873",
            "telephone_number": "808-528-0737",
            "fax_number": "808-521-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMAN",
        "first_name": "ALLEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MD-4797",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "HI",
            "license": "MD-4797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 30, 2011; 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.