Active NPI
Lance E. Schumacher, PHD
- Psychologist
- Wailuku, HI
National Provider Identifier
1790867638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-557
- Practice address
- 80 Mahalani St
Wailuku, HI 96793-2531 - Phone
- (808) 243-6000
- NPI assigned
- Oct 19, 2006
- Last updated
- Oct 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY-557 | HI | Primary |
Addresses
Primary practice location
80 Mahalani St
Wailuku, HI 96793-2531
Mailing address
80 Mahalani St
Wailuku, HI 96793-2531
Phone (808) 243-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07682304 | Medicaid | HI |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-557 | HI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1790867638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932531",
"telephone_number": "808-243-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932531",
"telephone_number": "808-243-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUMACHER",
"first_name": "LANCE",
"middle_name": "E.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY-557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07682304",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.