Individual provider Active NPI

Mark Scott Verschell, PSY.D.

  • Clinical Psychologist
  • Kailua, HI
National Provider Identifier
1790776664
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-688 Issued in HI
Practice address
1312 Manu Aloha St
Kailua, HI 96734-4314
Phone
(808) 282-9046
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY-688 HI
Clinical Psychologist 103TC0700X PSY-688 HI Primary
Health Service Psychologist 103TH0100X PSY-688 HI

Addresses

Primary practice location

1312 Manu Aloha St
Kailua, HI 96734-4314

Mailing address

1312 Manu Aloha St
Kailua, HI 96734-4314
Phone (808) 282-9046

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
I20130827000079 HI Practitioner - Clinical Psychologist 0840433637 Reassigns benefits to 1 organization
Practice locations: Aiea, HI; Kailua, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-688HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
A Healthful Psychology Inc. Clinical Current Accepting new patients
The Wahiawa Center for Community Health CurrentSince Feb 7, 2019 Accepting new patients
Hawaii Psychological Services, Inc Clinical PastSince Jun 1, 2013 Accepting new patients

Locations

130 California Ave
Ste 106
Wahiawa, HI 96786
Phone (808) 622-1618

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1790776664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 MANU ALOHA ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344314",
            "telephone_number": "808-282-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 MANU ALOHA ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344314",
            "telephone_number": "808-282-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERSCHELL",
        "first_name": "MARK",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "HI",
            "license": "PSY-688",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-688",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "HI",
            "license": "PSY-688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.