Individual provider Active NPI

Kevin Mark Ranken, PSY.D., J.D.

  • Clinical Psychologist
  • Kihei, HI
National Provider Identifier
1912048653
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
923 Issued in HI
Practice address
1325 S Kihei Rd
Ste. 231
Kihei, HI 96753-8179
Phone
(808) 268-3730
NPI assigned
Feb 8, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 923 HI Primary

Addresses

Primary practice location

1325 S Kihei Rd
Ste. 231
Kihei, HI 96753-8179

Mailing address

PO Box 336
Kihei, HI 96753-0336
Phone (808) 268-3730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
923HIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ranken, Inc. Clinical CurrentSince Jul 10, 2006 Accepting new patients

Locations

1325 S Kihei Rd
Ste 231
Kihei, HI 96753
Phone (808) 268-3730

161 Wailea Ike Pl
Ste A105
Wailea, HI 96753
Phone (808) 268-3730

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, 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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912048653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967530336",
            "telephone_number": "808-268-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S KIHEI RD",
            "address_2": "STE. 231",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538179",
            "telephone_number": "808-268-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKEN",
        "first_name": "KEVIN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PSY.D., J.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

Verify at the official NPI Registry.