Carmenne Anne Chiasson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-645 Issued in HI

Practice address

389 Kaimake Loop
Kailua, HI 96734-2018

Phone

(808) 589-9158

Fax

(808) 596-8558

NPI assigned

Sep 19, 2014

Last updated

Oct 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Carmenne Chiasson PHD Inc

  dba Carmenne Chiasson, PhD

  • Clinical Psychologist
  • Kailua, HI
  • NPI 1073914941
  Medicare reassignment NPD Authorized official
• Mary Myers PHD Inc

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1235517350
  NPD

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1689076739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 KAIMAKE LOOP",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342018",
            "telephone_number": "808-589-9158",
            "fax_number": "808-596-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 KAIMAKE LOOP",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342018",
            "telephone_number": "808-589-9158",
            "fax_number": "808-596-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1188 Bishop St Ste 3512",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968133314",
            "country_code": "US",
            "telephone_number": "808-589-9158",
            "fax_number": "808-550-0992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIASSON",
        "first_name": "CARMENNE",
        "middle_name": "ANNE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "HI",
            "license": "PSY-645",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "HI",
            "license": "PSY-645",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "HI",
            "license": "PSY-645",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "HI",
            "license": "PSY-645",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "HI",
            "license": "PSY-645",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "HI",
            "license": "PSY-645",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdul Chaudhry, ND
• Israel Chavez
• Cheryl Cheng, RPH
• Cherylynn Cheng
• CHI Lifestyle Medical Center LLC
• Nathan Chin, M.D.
• Gerald Hon Sung Ching, M.D.
• Linda D Chiu, M.D.
• Thomas Chlebecek, DVM
• Kayla Chmiola

• Clinical Psychologist in Kailua, HI
• Providers in Kailua, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.

Verify at the official NPI Registry.