Carmen Nicole Gonowon, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1188 Bishop St Ste 1007
Honolulu, HI 96813-3304

Phone

(808) 913-4184

NPI assigned

Nov 21, 2022

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carmen.gonowon.1@28621.direct.athenahealth.com

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.

• Optum Behavioral Care of Ohio, Inc

  dba Optum Xplor Counseling of Hawaii

  • Counseling Psychologist
  • Honolulu, HI
  • NPI 1548036239
  NPD
• Optum Behavioral Care of Ohio, Inc.

  • Clinical Social Worker
  • Maryland Heights, MO
  • NPI 1528945623
  NPD

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1750090452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 NUUANU AVE APT 2708",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174031",
            "telephone_number": "217-766-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 1007",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133304",
            "telephone_number": "808-913-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONOWON",
        "first_name": "CARMEN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole@manoacanon.com",
            "affiliation": "N",
            "endpointDescription": "email associated with Manoa Canon Counseling Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1188 Bishop St Ste 1007",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968133304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric Goldsborough, DPT, PT
• Sharon Gomes-Kamealoha, RBT
• Daizha Gomes
• Grace Marie Gomes, PHARMD
• Bailey R Gongob
• Cleopatra Savella Gonsales, RBT
• Lashaiah Gonsalves-Scott
• Erik S Gonsalves, MA, CSAC
• Manuel Gonsalves
• Logan Gonzaga

• Psychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.