Active NPI
Integrated Psychological Services, Hawaii
- Clinical Psychologist
- Honokaa, HI
National Provider Identifier
1790026557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1374
- Legal business name
- INTEGRATED PSYCHOLOGICAL SERVICES, HAWAII
- Practice address
- 46-3694 Puaono Rd
Honokaa, HI 96727-7057 - Phone
- (808) 747-5435
- Fax
- (866) 384-4779
- NPI assigned
- Mar 4, 2013
- Last updated
- Mar 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Gedney, PSYD
- Title
- Owner/Manager
- Phone
- (808) 747-5435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1374 | FL | Primary |
Addresses
Primary practice location
46-3694 Puaono Rd
Honokaa, HI 96727-7057
Mailing address
PO Box 326
Honokaa, HI 96727-0326
Phone (808) 747-5435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Integrated Psychological Services Hawaii
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Honokaa, HI
- NPI 1144562257
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Honokaa, HI
- NPI 1598710451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362355200000",
"number": "1790026557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 326",
"city": "HONOKAA",
"state": "HI",
"postal_code": "967270326",
"telephone_number": "808-747-5435",
"fax_number": "866-384-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46-3694 PUAONO RD",
"city": "HONOKAA",
"state": "HI",
"postal_code": "967277057",
"telephone_number": "808-747-5435",
"fax_number": "866-384-4779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED PSYCHOLOGICAL SERVICES, HAWAII",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-04",
"last_updated": "2013-03-04",
"status": "A",
"authorized_official_last_name": "GEDNEY",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "808-747-5435",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PSY1374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honokaa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.