Individual provider Active NPI

Gary C Augustin, PH.D.

  • Marriage & Family Therapist
  • Kaneohe, HI
National Provider Identifier
1700939790
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
30 Issued in HI
Practice address
46-020 Alaloa St
Kaneohe, HI 96744-3828
Phone
(808) 381-2675
NPI assigned
Jan 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 30 HI Primary

Addresses

Primary practice location

46-020 Alaloa St
Kaneohe, HI 96744-3828

Mailing address

7022 Niumalu Loop
Honolulu, HI 96825-1636
Phone (808) 381-2675

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
I20240329002525 HI Practitioner - Marriage and Family Therapist 0941424352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Counseling Center HawaiiGroup PAC ID 6507080918, 8 clinicians

Practice addresses (Care Compare)

1020 S Beretania St
Honolulu, HI 96814-1428
Phone (808) 545-2740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
30HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center Hawaii CurrentSince Mar 18, 2024 Accepting new patients

Locations

1020 S Beretania St
Honolulu, HI 96814
Phone (808) 545-2740

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700939790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7022 NIUMALU LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251636",
            "telephone_number": "808-381-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-020 ALALOA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443828",
            "telephone_number": "808-381-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "GARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.