Individual provider Active NPI

Jeffrey J Gedney, PSYD

  • Clinical Psychologist
  • Honokaa, HI
National Provider Identifier
1598710451
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1374 Issued in HI
Practice address
45-547 Plumeria St
Honokaa, HI 96727-6902
Phone
(808) 747-5435
Fax
(808) 441-9898
NPI assigned
May 22, 2006
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 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 PY-6767 FL
Clinical Psychologist 103TC0700X PSY1374 HI Primary

Addresses

Primary practice location

45-547 Plumeria St
Honokaa, HI 96727-6902

Mailing address

PO Box 326
Honokaa, HI 96727-0326
Phone (808) 747-5435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130625000375 HI Practitioner - Psychologist Billing Independently 1052382264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

46 -3694 Puaono Rd
Honokaa, HI 96727-7057
Phone (808) 747-5435

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY-6767FLMDClinical Psychologist
PSY1374HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Psychological Services, Hawaii Clinical CurrentSince Mar 7, 2013 Accepting new patients
Integrated Psychological Services, Hawaii Past Accepting new patients
North Florida Pain Specialists PA PastSince Nov 1, 2004 Accepting new patients
Tampa Pain Relief Center, Inc. Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1598710451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967270326",
            "telephone_number": "808-747-5435",
            "fax_number": "866-384-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-547 PLUMERIA ST",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276902",
            "telephone_number": "808-747-5435",
            "fax_number": "808-441-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDNEY",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY-6767",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY1374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honokaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.