Individual provider Active NPI

Elizabeth McCloud, PSYD

  • Clinical Psychologist
  • Hilo, HI
National Provider Identifier
1760040844
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY33504 Issued in CA
Practice address
305 Wailuku Dr Ste 3
Hilo, HI 96720-2488
Phone
(831) 238-6326
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY1904 HI
Clinical Psychologist 103TC0700X PSY33504 CA Primary

Addresses

Primary practice location

305 Wailuku Dr Ste 3
Hilo, HI 96720-2488

Mailing address

154 Waianuenue Ave Unit 11425
Hilo, HI 96721-2115
Phone (831) 238-6326

Other practice location 1

305 Wailuku Drive, #3
Hilo, HI 96720
Phone (831) 238-6326

Other names 1

  • Dr. Elizabeth McCloud Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY33504CAMDClinical Psychologist
PSY1904HIMDClinical Psychologist
33504CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Therapy Center, LLC Current Accepting new patients
Wellspring Psychological Services, Inc. Counseling CurrentSince Jul 7, 2023 Accepting new patients

Locations

80 Garden Ct
Ste 260
Monterey, CA 93940
Phone (831) 249-1911

9829 Blue Larkspur Ln
Ste 2
Monterey, CA 93940
Phone (831) 647-8490

305 Wailuku Dr
Ste 3
Hilo, HI 96720
Phone (808) 698-6081

Organizations & group practices 2

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1760040844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WAIANUENUE AVE UNIT 11425",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967212115",
            "telephone_number": "831-238-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WAILUKU DR STE 3",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202488",
            "telephone_number": "831-238-6326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Wailuku Drive, #3",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "96720",
            "country_code": "US",
            "telephone_number": "831-238-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY1904",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MCCLOUD",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.