Individual provider Active NPI

Malia B Daniel, MSCP

  • Clinical Psychologist
  • Hilo, HI
National Provider Identifier
1861649253
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2069 Issued in HI
Practice address
101 Aupuni St Ste 243
Hilo, HI 96720-4261
Phone
(808) 937-1339
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2069 HI Primary

Addresses

Primary practice location

101 Aupuni St Ste 243
Hilo, HI 96720-4261

Mailing address

PO Box 10855
Hilo, HI 96721-5855
Phone (808) 937-1339

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928003322 HI Practitioner - Clinical Psychologist 9638523319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Aupuni St
Suite 243
Hilo, HI 96720-4261
Phone (808) 892-2475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2069HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Elements Psychological CurrentSince Aug 9, 2023 Accepting new patients

Locations

101 Aupuni St
Ste 243
Hilo, HI 96720
Phone (808) 892-2475

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": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1861649253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10855",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967215855",
            "telephone_number": "808-937-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUPUNI ST STE 243",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204261",
            "telephone_number": "808-937-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "MALIA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "MSCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "2069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.