Active NPI
Stephen Anthony Reynolds, PSYD
- Clinical Psychologist
- Kailua Kona, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-1750
- Practice address
- 75-5660 Kopiko St Ste C7
PMB 409
Kailua Kona, HI 96740-3122 - Phone
- (808) 207-5887
- NPI assigned
- Aug 13, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-1750 | HI | Primary |
| Clinical Psychologist | 103TC0700X | 30232 | CA |
Addresses
Primary practice location
75-5660 Kopiko St Ste C7
PMB 409
Kailua Kona, HI 96740-3122
Mailing address
75-5660 Kopiko St Ste C7
PMB 409
Kailua Kona, HI 96740-3122
Phone (808) 207-5887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2886-3412 | Other | CA | AMERICAN PSYCHOLOGICAL ASSOCIATION |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1020 S Beretania St
Honolulu, HI 96814-1428
Phone (808) 545-2740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-1750 | HI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Solutions LLC | Current | Accepting new patients | |
| Samaritan Counseling Center Hawaii | Current | Accepting new patients |
Locations
1020 S Beretania St
Honolulu, HI 96814
Phone (808) 545-2740
1050 Queen St
Ste 100
Honolulu, HI 96814
Phone (808) 207-5887
75-5660 Kopiko St
Ste C7
Kailua Kona, HI 96740
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Honolulu, HI
- NPI 1336873876
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Honolulu, HI
- NPI 1093904948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1679906614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5660 KOPIKO ST STE C7",
"address_2": "PMB 409",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967403122",
"telephone_number": "808-207-5887",
"fax_number": "808-240-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5660 KOPIKO ST STE C7",
"address_2": "PMB 409",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967403122",
"telephone_number": "808-207-5887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "STEPHEN",
"middle_name": "ANTHONY",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-13",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY-1750",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30232",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN PSYCHOLOGICAL ASSOCIATION",
"identifier": "2886-3412",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua Kona, HI
- Rehabilitation Hospital of the Pacific (REHAB at Kailua-Kona)
- Sean M Reilly, PA-C
- Reina Acacio LMFT
- Resilient Connections Counseling LLC
- Retina Institute of Hawaii LLC
- Mark S. Rhee, MD
- Nameeta Penkar Richard, M.D.
- Daniel Edward Rick, P.T.
- Kenneth Mark Riff, M.D.
- Allison Genevieve Rigg, OCCUPATIONAL THERAPI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.
- 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.