Individual provider Active NPI

Craig T Twentyman, PH.D., L.AC., CSAC

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1679795470
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
324 Issued in HI
Practice address
100 N. Beretania Street
208
Honolulu, HI 96817-4709
Phone
(808) 591-2345
NPI assigned
May 2, 2007
Last updated
Dec 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 324 HI Primary
Acupuncturist 171100000X 799 HI

Addresses

Primary practice location

100 N. Beretania Street
208
Honolulu, HI 96817-4709

Mailing address

1255 Nuuanu Avenue
2201
Honolulu, HI 96817-4011
Phone (808) 591-2345

Other identifiers 1

IdentifierTypeStateIssuer
07244501MedicaidHI

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
I20100209000296 HI Practitioner - Clinical Psychologist 2769373265 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
324HIMDAcupuncturist
799HIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Psychological Services, Inc Acupuncturist CurrentSince Jan 1, 2001 Accepting new patients
Aloha Acupuncture and Oriental Medicine Acupuncturist Past Accepting new patients

Locations

100 N Beretania St
Ste 208
Honolulu, HI 96817
Phone (808) 536-6333

1188 Bishop St
Ste 1204
Honolulu, HI 96813
Phone (808) 392-0709

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1679795470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 NUUANU AVENUE",
            "address_2": "2201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174011",
            "telephone_number": "808-591-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N. BERETANIA STREET",
            "address_2": "208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174709",
            "telephone_number": "808-591-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWENTYMAN",
        "first_name": "CRAIG",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.AC., CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "324",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "799",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07244501",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.