Individual provider Active NPI

Daniela Granzotto, PSY.D.

  • Clinical Psychologist
  • Waipahu, HI
National Provider Identifier
1891994521
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1005 Issued in HI
Practice address
94-479 Ukee St
Waipahu, HI 96797-4212
Phone
(808) 265-5791
Fax
(808) 791-4123
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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 PSY1005 HI Primary

Addresses

Primary practice location

94-479 Ukee St
Waipahu, HI 96797-4212

Mailing address

95-1191 Leolani St
Mililani, HI 96789-3608
Phone (808) 265-5791

Other practice location 1

94-479 Ukee St
Waipahu, HI 96797-4212
Phone (808) 265-5791

Other names 1

  • Dr. None None Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY1005HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bewell Mental Health LLC Clinical CurrentSince Aug 27, 2023 Accepting new patients

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1891994521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1191 LEOLANI ST",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893608",
            "telephone_number": "808-265-5791",
            "fax_number": "808-791-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-479 UKEE ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974212",
            "telephone_number": "808-265-5791",
            "fax_number": "808-791-4123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-479 UKEE ST",
            "address_purpose": "LOCATION",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974212",
            "country_code": "US",
            "telephone_number": "808-265-5791",
            "fax_number": "808-791-4123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANZOTTO",
        "first_name": "DANIELA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY1005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.