Active NPI
William Rezentes III, PH.D.
- Clinical Psychologist
- Kailua, HI
National Provider Identifier
1699702183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-397
- Practice address
- 1733 Akaakoa St
Kailua, HI 96734-4206 - Phone
- (808) 262-4994
- NPI assigned
- Jun 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-397 | HI | Primary |
Addresses
Primary practice location
1733 Akaakoa St
Kailua, HI 96734-4206
Mailing address
1733 Akaakoa St
Kailua, HI 96734-4206
Phone (808) 262-4994
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05461402 | Medicaid | HI | |
| B6298-0 | Other | HI | HMSA PROVIDER NUMBER |
Other names 1
- Dr. Bill Rezentes
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031203000086 | HI | Practitioner - Clinical Psychologist | 2163327263 | Practice locations: Kailua, HI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1733 Akaakoa St
Kailua, HI 96734-4206
Phone (808) 262-4994
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-397 | HI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1699702183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 AKAAKOA ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344206",
"telephone_number": "808-262-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 AKAAKOA ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344206",
"telephone_number": "808-262-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REZENTES",
"first_name": "WILLIAM",
"name_suffix": "III",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY-397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05461402",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA PROVIDER NUMBER",
"identifier": "B6298-0",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BILL",
"last_name": "REZENTES",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.