Individual provider Active NPI

Erin Christine Gustin, M.A., PSYD, LP

  • Clinical Psychologist
  • Hilo, HI
National Provider Identifier
1710168034
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-1466 Issued in HI
Practice address
224 Kamehameha Ave Ste 201
Hilo, HI 96720-2860
Phone
(808) 825-4214
Fax
(866) 985-6799
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-1466 HI Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X

Addresses

Primary practice location

224 Kamehameha Ave Ste 201
Hilo, HI 96720-2860

Mailing address

13-3438 Maile St
Pahoa, HI 96778-8206
Phone (808) 825-4214

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
I20160809000526 HI Practitioner - Clinical Psychologist 4587958921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pau Hana Counseling, LLCGroup PAC ID 6406263342, 5 clinicians

Practice addresses (Care Compare)

224 Kamehameha Ave
Suite 201
Hilo, HI 96720-2860
Phone (808) 825-4212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Pau Hana Counseling, LLC CurrentSince Nov 11, 2020 Accepting new patients

Locations

224 Kamehameha Ave
Ste 201
Hilo, HI 96720
Phone (808) 825-4212

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1710168034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13-3438 MAILE ST",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967788206",
            "telephone_number": "808-825-4214",
            "fax_number": "866-985-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 KAMEHAMEHA AVE STE 201",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202860",
            "telephone_number": "808-825-4214",
            "fax_number": "866-985-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTIN",
        "first_name": "ERIN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.A., PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1466",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.