Individual provider Active NPI

Mary K Myers, PHD

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1881667939
Registry record updated Dec 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY580 Issued in HI
Practice address
1188 Bishop St Ste 3512
Honolulu, HI 96813-3314
Phone
(808) 550-0991
Fax
(808) 550-0992
NPI assigned
Feb 9, 2006
Last updated
Dec 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY580 HI Primary

Addresses

Primary practice location

1188 Bishop St Ste 3512
Honolulu, HI 96813-3314

Mailing address

1188 Bishop St Ste 3512
Honolulu, HI 96813-3314
Phone (808) 550-0991

Other identifiers 2

IdentifierTypeStateIssuer
07813202MedicaidHI
B206694OtherHIHMSA

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
I20060105000273 HI Practitioner - Clinical Psychologist 5799708715 Reassigns benefits to 1 organization
Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1188 Bishop St
Suite 3512
Honolulu, HI 96813-3314
Phone (808) 550-0991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY580HIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmenne Chiasson PHD Inc CurrentSince Dec 24, 2023 Accepting new patients
Mary Myers PHD Inc CurrentSince Oct 22, 2022 Accepting new patients

Locations

1188 Bishop St
Ste 3206
Honolulu, HI 96813
Phone (808) 255-2604

1188 Bishop St
Ste 3512
Honolulu, HI 96813
Phone (808) 550-0991

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703980800000",
    "number": "1881667939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 3512",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133314",
            "telephone_number": "808-550-0991",
            "fax_number": "808-550-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 3512",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133314",
            "telephone_number": "808-550-0991",
            "fax_number": "808-550-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07813202",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B206694",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.