Individual provider Active NPI

Claudette Haruko Ozoa, PH.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1770683302
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-751 Issued in HI
Practice address
4300 Waialae Ave Apt B1002
Honolulu, HI 96816-5757
Phone
(808) 284-3601
Fax
(888) 668-8527
NPI assigned
Sep 24, 2006
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-751 HI Primary

Addresses

Primary practice location

4300 Waialae Ave Apt B1002
Honolulu, HI 96816-5757

Mailing address

4348 Waialae Ave # 403
Honolulu, HI 96816-5767
Phone (808) 284-3601

Other identifiers 3

IdentifierTypeStateIssuer
203822652OtherHITRICARE
52208801MedicaidHI
232975OtherHIHMSA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001425 HI Practitioner - Clinical Psychologist 7719912765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Honolulu, HI 96816
Phone (808) 734-2897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY-751HIMDClinical Psychologist
10062NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Claudette H. Ozoa, PH.D. LLC CurrentSince Jun 17, 2002 Accepting new patients
Warren R. Loos, PH.D, LLC PastSince Jun 17, 2002 Accepting new patients
Felicia Glenn Gerrol, PH.D., Inc Clinical PastSince Jan 26, 2019 Accepting new patients

Locations

1188 Bishop St
Ste 1208
Honolulu, HI 96813
Phone (808) 295-9905

1188 Bishop St
Ste 1603
Honolulu, HI 96813
Phone (808) 452-1731

4348 Waialae Ave
Honolulu, HI 96816
Phone (770) 364-2184

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1770683302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 WAIALAE AVE # 403",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165767",
            "telephone_number": "808-284-3601",
            "fax_number": "888-668-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WAIALAE AVE APT B1002",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165757",
            "telephone_number": "808-284-3601",
            "fax_number": "888-668-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZOA",
        "first_name": "CLAUDETTE",
        "middle_name": "HARUKO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "203822652",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52208801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "232975",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.