Individual provider Active NPI

Maria Rose Parreno X, PSY.D.

  • Psychologist
  • Kalaheo, HI
National Provider Identifier
1821292061
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 865 Issued in HI
Practice address
3575 Lauoho Rd
Kalaheo, HI 96741
Phone
(702) 900-8086
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 865 HI Primary

Addresses

Primary practice location

3575 Lauoho Rd
Kalaheo, HI 96741

Mailing address

PO Box 397
Kalaheo, HI 96741-0397
Phone (702) 900-8086

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

State licenses

LicenseStateTypeSpecialty
PSY 865HIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Kauai, LLC CurrentSince Apr 25, 2021 Accepting new patients

Locations

3575 Lauoho Rd
Kalaheo, HI 96741
Phone (702) 900-8086

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1821292061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967410397",
            "telephone_number": "702-900-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 LAUOHO RD",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "96741",
            "telephone_number": "702-900-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRENO",
        "first_name": "MARIA",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "name_suffix": "X",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY 865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalaheo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.