Paul Steven Buckingham, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3456 Issued in HI

Practice address

55-510 Kamehameha Hwy Ste 15
Laie, HI 96762-1119

Phone

(808) 780-6925

NPI assigned

Oct 8, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Koolau Counseling LLC

  • Community/Behavioral Health Agency
  • Laie, HI
  • NPI 1679029755
  NPD (past)
• Ohana Care Chiropractic LLC

  • Primary Care Clinic/Center
  • Hauula, HI
  • NPI 1063799955
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1831731124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55-510 KAMEHAMEHA HWY STE 15",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621119",
            "telephone_number": "808-780-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-510 KAMEHAMEHA HWY STE 15",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621119",
            "telephone_number": "808-780-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "PAUL",
        "middle_name": "STEVEN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Ava
• Kevin Nephi Baize, OD
• Guy Russell Boydstun Jr., ATC
• Brigham Young University Health Center
• Sydney McKay Brown, CD(DONA)
• Castle Medical Center
• Royden E. Christensen, D.O.
• Shogo Falevai
• James J.E. Fong
• Carl Malele Fonoimoana Jr.

• Clinical Social Worker in Laie, HI
• Providers in Laie, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.