Organization Active NPI

Geropsychology Associates, LLC

Doing business as Hawaii Senior Connections

  • Clinical Psychologist
  • Kailua, HI
National Provider Identifier
1841232030
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GEROPSYCHOLOGY ASSOCIATES, LLC
Doing business as
Hawaii Senior Connections
Practice address
111 Hekili St
Ste. A196
Kailua, HI 96734-2800
Phone
(808) 236-2260
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
David Ross
Title
Agent, Member, Member
Phone
(808) 236-2260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

111 Hekili St
Ste. A196
Kailua, HI 96734-2800

Mailing address

111 Hekili St
Ste. A196
Kailua, HI 96734-2800
Phone (808) 236-2260

Other identifiers 2

IdentifierTypeStateIssuer
0 022988-0OtherHIHMSA/HMSA 65C NUMBER
50398901MedicaidHI

Other names 1

  • Hawaii Senior Connections Doing business as

National Provider Directory

National Provider Directory

Locations

786957 Kamehameha III Rd
Fresno, CA 93740
Phone (808) 322-2790

111 Hekili St
Ste A196
Kailua, HI 96734
Phone (808) 236-2260

100 Keokea Pl
Kula, HI 96790
Phone (808) 875-6690

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841232030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HEKILI ST",
            "address_2": "STE. A196",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342800",
            "telephone_number": "808-236-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HEKILI ST",
            "address_2": "STE. A196",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342800",
            "telephone_number": "808-236-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEROPSYCHOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AGENT, MEMBER, MEMBER",
        "authorized_official_telephone_number": "808-236-2260"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA/HMSA 65C NUMBER",
            "identifier": "0 022988-0",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50398901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Senior Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.