Neil O Annandale, PH.D., CGP
Individual provider Active NPI Counseling Psychologist · Hauula, HI
NPI 1770046674 · NPPES record last updated Apr 9, 2019
Key facts
- NPI
- 1770046674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- 1202 (HI)
- Practice address
- 54-242B Honomu Street
Hauula, HI 96717 - Phone
- (808) 429-5504
- NPI assigned
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190607001351 | HI | Practitioner - Clinical Psychologist | 0244563120 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 1202 | HI | Yes |
Addresses
Primary practice location
54-242B Honomu Street
Hauula, HI 96717
Mailing address
P.O. Box 804
Hauula, HI 96717
Phone (808) 429-5504
Other providers in Hauula, HI
- Fayrina Fuataiotui Ah-Hoy
- Kathy E Bell
- Rachel Harue Bingue
- Sophia Laine Bosacco
- Brighton Rehabilitation LLC
- Megan Donna Bush
All providers in Hauula, HI · Counseling Psychologist in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.