Active NPI
Reginald Hill, PSY. D., MSW, LCSW
- Clinical Psychologist
- Fort Moore, GA
National Provider Identifier
1710317169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 823
- Practice address
- 6600 Van Aalst Blvd
Fort Moore, GA 31905-2102 - Phone
- (808) 457-6339
- NPI assigned
- Nov 21, 2013
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Health Service Psychologist | 103TH0100X | 823 | WY | |
| Social Worker | 104100000X | LSW2111 | HI | |
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | LCSW88954 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW4133 | HI | |
| Clinical Psychologist | 103TC0700X | 823 | WY | Primary |
Addresses
Primary practice location
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Mailing address
PO Box 53790
Fort Moore, GA 31995-3790
Phone (808) 457-6339
Other practice location 1
500 Ala Moana Blvd
Honolulu, HI 96813
Phone (808) 543-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW2111 | HI | MD | Social Worker |
| LCSW88954 | CA | MD | Clinical Social Worker |
| LCSW4133 | HI | MD | Clinical Social Worker |
| 823 | WY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1710317169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53790",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "319953790",
"telephone_number": "808-457-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "319052102",
"telephone_number": "808-457-6339"
}
],
"practiceLocations": [
{
"address_1": "500 Ala Moana Blvd",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "96813",
"country_code": "US",
"telephone_number": "808-543-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILL",
"first_name": "REGINALD",
"name_prefix": "Dr.",
"credential": "PSY. D., MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-21",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "WY",
"license": "823",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "HI",
"license": "LSW2111",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW88954",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW4133",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Moore, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.