Individual provider Active NPI

Devon Akemi Masuda, PSY.D.

  • Clinical Psychologist
  • Hilo, HI
National Provider Identifier
1699821264
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 978 Issued in HI
Practice address
99 Aupuni St Ste 201
Hilo, HI 96720-4277
Phone
(808) 825-8275
NPI assigned
Jan 26, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 978 HI Primary

Addresses

Primary practice location

99 Aupuni St Ste 201
Hilo, HI 96720-4277

Mailing address

820 Hele Mauna St
Hilo, HI 96720-1752
Phone (808) 292-2019

Other practice location 1

450 Kilauea Ave
Hilo, HI 96720-3089
Phone (808) 333-3600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070411000530 HI Practitioner - Clinical Psychologist 8325143845 Practice locations: Hilo, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Hawaii Community Health Center IncGroup PAC ID 1557389400, shared by 20 NPIs, 63 clinicians
Bay Clinic IncGroup PAC ID 5890699037, 28 clinicians

Practice addresses (Care Compare)

15 -2866 Pahoa Village Rd
Pahoa, HI 96778-7720
Phone (808) 333-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY 978HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Devon Masuda, Psy D LLC Clinical CurrentSince Dec 1, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699821264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 HELE MAUNA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967201752",
            "telephone_number": "808-292-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 AUPUNI ST STE 201",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204277",
            "telephone_number": "808-825-8275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Kilauea Ave",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967203089",
            "country_code": "US",
            "telephone_number": "808-333-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASUDA",
        "first_name": "DEVON",
        "middle_name": "AKEMI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY 978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.