Individual provider Active NPI

Reid Elderts, PSYD

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1609244276
Registry record updated Apr 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-2072 Issued in HI
Practice address
1441 Kapiolani Blvd Ste 1802
Honolulu, HI 96814-4408
Phone
(808) 525-6255
NPI assigned
Sep 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2023

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-2072 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 1802
Honolulu, HI 96814-4408

Mailing address

1441 Kapiolani Blvd Ste 1802
Honolulu, HI 96814-4408

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
I20230420002190 HI Practitioner - Clinical Psychologist 2567827819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
I Ola Lahui IncGroup PAC ID 0345420972, 6 clinicians

Practice addresses (Care Compare)

1441 Kapiolani Blvd
Suite 1802
Honolulu, HI 96814-4408
Phone (808) 525-6255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
I Ola Lahui Inc Clinical CurrentSince Apr 3, 2023 Accepting new patients

Locations

1441 Kapiolani Blvd
Ste 1802
Honolulu, HI 96814
Phone (808) 525-6234

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682726400000",
    "number": "1609244276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1802",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1802",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144408",
            "telephone_number": "808-525-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDERTS",
        "first_name": "REID",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-12",
        "last_updated": "2023-04-29",
        "certification_date": "2023-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-2072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.