Jedidiah Gunter, PH.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

020455 Issued in NY

Practice address

1350 S King St Ste 325
Honolulu, HI 96814-2008

Phone

(808) 670-8668

NPI assigned

Mar 20, 2014

Last updated

Mar 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Rachel Song, PH.D.

  • Clinical Neuropsychologist
  • Needham, MA
  • NPI 1255878575

  HI

  Medicare reassignment
• Advanced Psychiatric Therapeutics

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1285920595
  NPD
• Hawaii Neuropsychology LLC

  dba Hawaii Neuropsychology

  • Clinical Neuropsychologist
  • Honolulu, HI
  • NPI 1811564800
  NPD (past)
• Utah Center for Psychological Services

  • Clinical Psychologist
  • West Jordan, UT
  • NPI 1417659186
  NPD (past)

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1689091290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 TREVISO DR STE 500",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593142",
            "telephone_number": "714-925-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S KING ST STE 325",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142008",
            "telephone_number": "808-670-8668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Treviso Dr",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593142",
            "country_code": "US",
            "telephone_number": "714-925-8351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNTER",
        "first_name": "JEDIDIAH",
        "name_prefix": "Mr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-20",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "020455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Guisinger
• Elma Gulayao
• Bennett G.M. Gum, D.D.S.
• Reydominique Lucero Gumboc, MD
• Teresa Gundermann
• Carmen Guo
• David Guo, NURSE PRACTITIONER
• John Shiao-Fong Guo, M.D.
• Stephanie C Guo, M.D.
• Trudy Narikiyo Guo, PHD

• Clinical Neuropsychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Neuropsychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.