Individual provider Active NPI

Kapualeinani Beyer Cavaco, PSYD

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1598930372
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-1707 Issued in HI
Practice address
4348 Waialae Ave # 625
Honolulu, HI 96816-5767
Phone
(808) 798-6792
Fax
(808) 356-1509
NPI assigned
Apr 23, 2008
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-1707 HI Primary

Addresses

Primary practice location

4348 Waialae Ave # 625
Honolulu, HI 96816-5767

Mailing address

2394 E Manoa Rd
Honolulu, HI 96822-1938
Phone (808) 343-7173

Other practice location 1

41-1347 Kalanianaole Hwy Ste A
Waimanalo, HI 96795-1297
Phone (808) 259-7948

Other practice location 2

41-1295 Kalanianaole Hwy
Waimanalo, HI 96795
Phone (808) 259-7948

Other identifiers 1

IdentifierTypeStateIssuer
822446MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530001645 HI Practitioner - Clinical Psychologist 1052676749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-1707HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ahonui Psychological Services LLC Psychologist CurrentSince Oct 20, 2020 Accepting new patients
Waimanalo Health Center Psychologist Past Accepting new patients

Locations

4348 Waialae Ave
Honolulu, HI 96816
Phone (770) 364-2184

153 E Kamehameha Ave
Ste 104
Kahului, HI 96732
Phone (808) 215-7386

41-1295 Kalanianaole Hwy
Waimanalo, HI 96795
Phone (808) 259-7948

Interoperability endpoints

  • Direct secure messaging: kapualeinani.beyercavaco.p1@direct.wcchc.nextgenshare.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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1598930372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2394 E MANOA RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221938",
            "telephone_number": "808-343-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 WAIALAE AVE # 625",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165767",
            "telephone_number": "808-798-6792",
            "fax_number": "808-356-1509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41-1347 Kalanianaole Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Waimanalo",
            "state": "HI",
            "postal_code": "967951297",
            "country_code": "US",
            "telephone_number": "808-259-7948",
            "fax_number": "808-259-6449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41-1295 Kalanianaole Hwy",
            "address_purpose": "LOCATION",
            "city": "Waimanalo",
            "state": "HI",
            "postal_code": "96795",
            "country_code": "US",
            "telephone_number": "808-259-7948",
            "fax_number": "808-259-6449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEYER CAVACO",
        "first_name": "KAPUALEINANI",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822446",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.