Active NPI
Neil O Annandale, PH.D., CGP
- Counseling Psychologist
- Hauula, HI
National Provider Identifier
1770046674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 1202
- Practice address
- 54-242B Honomu Street
Hauula, HI 96717 - Phone
- (808) 429-5504
- NPI assigned
- Apr 9, 2019
- Last updated
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1202 | HI | Primary |
Addresses
Primary practice location
54-242B Honomu Street
Hauula, HI 96717
Mailing address
P.O. Box 804
Hauula, HI 96717
Phone (808) 429-5504
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1202 | HI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Val J Umphress PHD LLC | Current | Accepting new patients |
Locations
99-128 Aiea Heights Dr
Ste 305
Aiea, HI 96701
Phone (808) 488-9288
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Aiea, HI
- NPI 1003146374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1770046674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 804",
"city": "HAUULA",
"state": "HI",
"postal_code": "96717",
"telephone_number": "808-429-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54-242B HONOMU STREET",
"city": "HAUULA",
"state": "HI",
"postal_code": "96717",
"telephone_number": "808-429-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNANDALE",
"first_name": "NEIL",
"middle_name": "O",
"credential": "PH.D., CGP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "HI",
"license": "1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauula, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.