Active NPI
Dianne M Gerard, PHD
- Psychologist
- Lihue, HI
National Provider Identifier
1831265586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY258
- Practice address
- 4371 Puaole Street
Suite B
Lihue, HI 96766-1231 - Phone
- (808) 246-4501
- Fax
- (808) 245-7504
- NPI assigned
- Nov 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | PSY258 | HI | Primary |
Addresses
Primary practice location
4371 Puaole Street
Suite B
Lihue, HI 96766-1231
Mailing address
4371 Puaole Street
Suite B
Lihue, HI 96766-1231
Phone (808) 246-4501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04472501 | Medicaid | HI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050929001139 | HI | Practitioner - Clinical Psychologist | 7517992308 | Practice locations: Lihue, HI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4371 Puaole St
Suite B
Lihue, HI 96766-1275
Phone (808) 246-4501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY258 | HI | MD | Psychologist |
| 258 | HI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831265586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 PUAOLE STREET",
"address_2": "SUITE B",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661231",
"telephone_number": "808-246-4501",
"fax_number": "808-245-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4371 PUAOLE STREET",
"address_2": "SUITE B",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661231",
"telephone_number": "808-246-4501",
"fax_number": "808-245-7504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARD",
"first_name": "DIANNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04472501",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.