Individual provider Active NPI

Nicole Knapp, PHD

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1558148452
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-2113 Issued in HI
Practice address
1130 N Nimitz Hwy RM C303
Honolulu, HI 96817-6501
Phone
(808) 450-0925
NPI assigned
Sep 13, 2023
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY.0006155 CO
Psychologist 103T00000X PSY-2113 HI Primary

Addresses

Primary practice location

1130 N Nimitz Hwy RM C303
Honolulu, HI 96817-6501

Mailing address

1130 N Nimitz Hwy RM C303
Honolulu, HI 96817-6501
Phone (808) 450-0925

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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11000 Optum Cir
Eden Prairie, MN 55344-2503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY.0006155COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Optum Behavioral Care of Ohio, Inc CurrentSince Jan 13, 2025 Accepting new patients

Locations

98-084 Kamehameha Hwy
Ste 304
Aiea, HI 96701
Phone (808) 486-1020

850 W Hind Dr
Ste 210
Honolulu, HI 96821
Phone (808) 247-7770

1130 N Nimitz Hwy
Rm C303
Honolulu, HI 96817
Phone (808) 450-0925

438 Hobron Ln
Ste 405
Honolulu, HI 96815
Phone (808) 941-9648

970 N Kalaheo Ave
Ste A214
Kailua, HI 96734
Phone (801) 580-0622

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

Interoperability endpoints

  • Direct secure messaging: nicole.knapp.1@28621.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1558148452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 N NIMITZ HWY RM C303",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176501",
            "telephone_number": "808-450-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N NIMITZ HWY RM C303",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176501",
            "telephone_number": "808-450-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "NICOLE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0006155",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-2113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.