Liza Malia Wacker, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY788 Issued in HI

Practice address

3599 Waialae Ave
Honolulu, HI 96816-2776

Phone

(808) 927-2587

Fax

(866) 530-6345

NPI assigned

Dec 4, 2006

Last updated

Nov 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Liza M. Wacker, Psy.D., Inc.

  • Psychologist
  • Honolulu, HI
  • NPI 1720416464
  Medicare reassignment NPD Authorized official
• Aaron Kaplan, PH.D., Inc.

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1548432842
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1770641789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25809",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250809",
            "telephone_number": "808-927-2587",
            "fax_number": "866-530-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3599 WAIALAE AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162776",
            "telephone_number": "808-927-2587",
            "fax_number": "866-530-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKER",
        "first_name": "LIZA",
        "middle_name": "MALIA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W4H Hawaii (Wellness 4 Humanity)
• Brian Wachi
• Carly Akemi Wachi, M.D.
• Dennis Hiroshi Wachi, M.D.
• Julie K. Wachtel, DO
• Candace M. Wada, D.D.S.
• Margaret K Wada, CCC SLP
• Nichele Wada, DDS
• Randal K. Wada, M.D.
• Robert Wada, D.D.S.

• Clinical Psychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.

Verify at the official NPI Registry.