Individual provider Active NPI

Candice Joy Sutton, PSY.D

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1801159231
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-1812 Issued in HI
Practice address
1188 Bishop St Ste 1103
Honolulu, HI 96813-3304
Phone
(808) 425-7718
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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-1812 HI Primary

Addresses

Primary practice location

1188 Bishop St Ste 1103
Honolulu, HI 96813-3304

Mailing address

2579 Kekuanoni St
Honolulu, HI 96813-1120
Phone (808) 256-0158

Other practice location 1

100 Alakea St 9th Floor
Honolulu, HI 96813
Phone (808) 723-7771

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
I20200518000915 HI Practitioner - Clinical Psychologist 7517398324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piyush Tiwari MD IncGroup PAC ID 1759501935, 2 clinicians

Practice addresses (Care Compare)

1188 Bishop St
Suite 1103
Honolulu, HI 96813-3304
Phone (808) 425-7718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-1812HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Piyush Tiwari, MD, Inc. CurrentSince Mar 1, 2020 Accepting new patients

Locations

1188 Bishop St
Ste 1103
Honolulu, HI 96813
Phone (808) 425-7718

Organizations & group practices 1

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1801159231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2579 KEKUANONI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968131120",
            "telephone_number": "808-256-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 1103",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133304",
            "telephone_number": "808-425-7718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Alakea St 9th Floor",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "96813",
            "country_code": "US",
            "telephone_number": "808-723-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "CANDICE",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.