Individual provider Active NPI

Herbert M Gupton, PH.D.

  • Psychologist
  • Aiea, HI
National Provider Identifier
1770626871
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
675 Issued in HI
Practice address
98-084 Kamehameha Hwy
Suite 306
Aiea, HI 96701-5122
Phone
(808) 484-1190
Fax
(808) 590-2216
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 675 HI Primary
Psychologist 103T00000X 1377 WI

Addresses

Primary practice location

98-084 Kamehameha Hwy
Suite 306
Aiea, HI 96701-5122

Mailing address

98-084 Kamehameha Hwy
Suite 306
Aiea, HI 96701-5122
Phone (808) 484-1190

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

LicenseStateTypeSpecialty
675HIMDPsychologist
1377WIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770626871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-084 KAMEHAMEHA HWY",
            "address_2": "SUITE 306",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015122",
            "telephone_number": "808-484-1190",
            "fax_number": "808-590-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-084 KAMEHAMEHA HWY",
            "address_2": "SUITE 306",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015122",
            "telephone_number": "808-484-1190",
            "fax_number": "808-590-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTON",
        "first_name": "HERBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "675",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.