Active NPI
Justin P Carter, PSY.D.
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1679766695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1442
- Practice address
- 1188 Bishop St
Suite 3110
Honolulu, HI 96813-3301 - Phone
- (808) 223-8067
- NPI assigned
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1442 | HI | Primary |
Addresses
Primary practice location
1188 Bishop St
Suite 3110
Honolulu, HI 96813-3301
Mailing address
7007 Hawaii Kai Dr
B13
Honolulu, HI 96825-3134
Phone (808) 223-8067
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 4, 2018 through Jan 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1442 | HI | MD | Clinical Psychologist |
| 28482 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1679766695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7007 HAWAII KAI DR",
"address_2": "B13",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968253134",
"telephone_number": "808-223-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 BISHOP ST",
"address_2": "SUITE 3110",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968133301",
"telephone_number": "808-223-8067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "JUSTIN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY1442",
"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 May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.