Active NPI
Lucille Carstens, PH.D.
- Clinical Psychologist
- Kailua Kona, HI
National Provider Identifier
1811935422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-190
- Practice address
- 75-5751 Kuakini Hwy
Kailua Kona, HI 96740-1705 - Phone
- (808) 329-7176
- NPI assigned
- Jun 4, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-190 | HI | Primary |
| Clinical Psychologist | 103TC0700X | 1361 | WA |
Addresses
Primary practice location
75-5751 Kuakini Hwy
Kailua Kona, HI 96740-1705
Mailing address
197 NW 13TH CT
Oak Harbor, WA 98277-3810
Phone (360) 675-9320
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY-190 | Other | HI | STATE LICENSE |
| 1361 | Other | WA | STATE LICENSE |
| A237196 | 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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-190 | HI | MD | Clinical Psychologist |
| 1361 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811935422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 NW 13TH CT",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982773810",
"telephone_number": "360-675-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5751 KUAKINI HWY",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401705",
"telephone_number": "808-329-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSTENS",
"first_name": "LUCILLE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY-190",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "1361",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PSY-190",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1361",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A237196",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
- Daniel Raymond Caputo, N.D., L.AC
- Donna Maria Cardwell, LMT
- Carexpress LLC (CareXpress Hawaii)
- Brett Andrew Carey, DPT
- Christopher Ryan Carlson, RPT
- Steven Louis Carvalho
- Michelle Casey, FNTP, FDNP, CHHC
- Jo-Ann Marilyn Casenas Castanares, R.N., ACPNP
- Catherine Smith LCSW, LLC
- Center for Integrative Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.