Individual provider Active NPI

Nicole Sayoko Wright, PSY.D.

  • Clinical Psychologist
  • Waianae, HI
National Provider Identifier
1750449179
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-1041 Issued in HI
Practice address
86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone
(808) 696-7081
Fax
(808) 696-7093
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X PSY-1041 HI Primary

Addresses

Primary practice location

86-260 Farrington Hwy
Waianae, HI 96792-3128

Mailing address

86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone (808) 696-7081

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
I20080818000617 HI Practitioner - Clinical Psychologist 9032284500 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imua Health Group LLCGroup PAC ID 4082042650, 15 clinicians

Practice addresses (Care Compare)

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

99 -080 Kauhale St
Suite C20
Aiea, HI 96701-4114
Phone (808) 953-4682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waianae District Comprehensive Health and Hospital Board, Inc Current Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Apr 14, 2008 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Apr 14, 2008 Accepting new patients
The Wahiawa Center for Community Health CurrentSince Sep 9, 2017 Accepting new patients
Imua Health Group, LLC CurrentSince Feb 12, 2020 Accepting new patients
Maulihiwa Wellness, LLC PastSince Jun 11, 2019 Accepting new patients
Imua Heart PastSince Jul 2, 2023 Accepting new patients

Locations

99-080 Kauhale St
Ste C20
Aiea, HI 96701
Phone (808) 320-1025

99-080 Kauhale St
Ste C20
Aiea, HI 96701
Phone (808) 320-1025

46-005 Kawa St
Ste 203
Kaneohe, HI 96744
Phone (808) 247-9616

130 California Ave
Ste 106
Wahiawa, HI 96786
Phone (808) 622-1618

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

Interoperability endpoints

  • Direct secure messaging: nicole.wright.1@15549.direct.athenahealth.com
  • Direct secure messaging: nicole.wright@hawaiihie.medicity.net

Organizations & group practices 7

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1750449179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128",
            "telephone_number": "808-696-7081",
            "fax_number": "808-696-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128",
            "telephone_number": "808-696-7081",
            "fax_number": "808-696-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "NICOLE",
        "middle_name": "SAYOKO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.