Individual provider Active NPI

Darryl Stephen Salvador, PSY.D.

  • Clinical Psychologist
  • Tamc, HI
National Provider Identifier
1750480273
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-951 Issued in HI
Practice address
1 Jarrett White Rd
Tripler Army Medical Center Attn: MCHK-QS
Tamc, HI 96859-5001
Phone
(808) 433-2460
Fax
(808) 433-1558
NPI assigned
Sep 21, 2006
Last updated
Jul 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-951 HI Primary

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center Attn: MCHK-QS
Tamc, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-6661

Other practice location 1

BLDG 683 Waianae Ave
Schofield Barracks, HI 96786
Phone (808) 433-8500

Other practice location 2

30 Oki St
Kaunakakai, HI 96748-2040
Phone (808) 553-5038

Other identifiers 1

IdentifierTypeStateIssuer
55072401MedicaidHI

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
I20070215000503 HI Practitioner - Clinical Psychologist 3577564202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Molokai Ohana Health Care IncGroup PAC ID 5698664530, 6 clinicians

Practice addresses (Care Compare)

10 Mohala St
Suite 5
Kaunakakai, HI 96748-2040
Phone (808) 553-4511

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Molokai Ohana Health Care, Inc. CurrentSince Aug 22, 2018 Accepting new patients
I Ola Lahui Inc Clinical Past Accepting new patients
Molokai Ohana Health Care, Inc. PastSince Nov 16, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: darryl.salvador.1@23954.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1750480273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-6661",
            "fax_number": "808-433-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS",
            "city": "TAMC",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-2460",
            "fax_number": "808-433-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BLDG 683 Waianae Ave",
            "address_purpose": "LOCATION",
            "city": "Schofield Barracks",
            "state": "HI",
            "postal_code": "96786",
            "country_code": "US",
            "telephone_number": "808-433-8500",
            "fax_number": "808-433-1551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Oki St",
            "address_purpose": "LOCATION",
            "city": "Kaunakakai",
            "state": "HI",
            "postal_code": "967482040",
            "country_code": "US",
            "telephone_number": "808-553-5038",
            "fax_number": "808-553-5854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVADOR",
        "first_name": "DARRYL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55072401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamc, HI

Sources for this page

Verify at the official NPI Registry.