Active NPI
Alex Bliss Walter, PH.D.
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1750815114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 704
- Practice address
- 1221 Kapiolani Blvd, Penthouse 38
Hawaii Psychology Collective
Honolulu, HI 96814 - Phone
- (808) 489-5919
- NPI assigned
- Apr 12, 2017
- Last updated
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 704 | HI | Primary |
Addresses
Primary practice location
1221 Kapiolani Blvd, Penthouse 38
Hawaii Psychology Collective
Honolulu, HI 96814
Mailing address
1221 Kapiolani Blvd PH 50
Honolulu, HI 96814-3518
Phone (808) 840-0787
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 704 | HI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1750815114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 KAPIOLANI BLVD PH 50",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968143518",
"telephone_number": "808-840-0787",
"fax_number": "808-748-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 KAPIOLANI BLVD, PENTHOUSE 38",
"address_2": "HAWAII PSYCHOLOGY COLLECTIVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-489-5919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "ALEX",
"middle_name": "BLISS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.