Active NPI
Donna Jean Ryngala, PH.D.
- Clinical Psychologist
- Kailua Kona, HI
National Provider Identifier
1689833758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1476
- Practice address
- 75-5995 Kuakini Hwy
Suite C-108
Kailua Kona, HI 96740-2144 - Phone
- (808) 327-6000
- NPI assigned
- Jun 4, 2008
- Sex
- Female
- 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 | 387 | MT | |
| Clinical Psychologist | 103TC0700X | 1476 | HI | Primary |
Addresses
Primary practice location
75-5995 Kuakini Hwy
Suite C-108
Kailua Kona, HI 96740-2144
Mailing address
75-5995 Kuakini Hwy
Suite C-108
Kailua Kona, HI 96740-2144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 387 | MT | MD | Mental Health Counselor |
| 1476 | HI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1689833758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5995 KUAKINI HWY",
"address_2": "SUITE C-108",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5995 KUAKINI HWY",
"address_2": "SUITE C-108",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402144",
"telephone_number": "808-327-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYNGALA",
"first_name": "DONNA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "387",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "1476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.