Marvin Wilson Acklin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

394 Issued in HI

Practice address

850 W. Hind Drive
Suite 203
Honolulu, HI 96821-1845

Phone

(808) 373-3880

Fax

(808) 373-1158

NPI assigned

Dec 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective May 6, 2013 through May 6, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Marvin W Acklin PHD Inc

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1780990101
  Authorized official Same address or phone

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902961840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W. HIND DRIVE",
            "address_2": "SUITE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-373-3880",
            "fax_number": "808-373-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W. HIND DRIVE",
            "address_2": "SUITE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-373-3880",
            "fax_number": "808-373-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKLIN",
        "first_name": "MARVIN",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khwanhatai Achuka, LCSW
• Roman Anthony S. Acierto, D.O.
• Carina Mae Acio
• Jessica Jung Ackerman, FNP
• Mary Jill Ackerman, LAC
• Peter E Ackman, FCLSA
• Crystalynne Acoba
• Jared David Acoba, M.D.
• Bryson James Kawika Acosta Madriaga, RBT
• BJ Isaac Pacupac Acosta, RPH

• Clinical Psychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.