Jessica L Payne, PSYD, MSW

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2124 Issued in HI

Practice address

1441 Kapiolani Blvd Ste 1600
Honolulu, HI 96814-4407

Phone

(808) 432-7600

NPI assigned

Aug 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kaiser Foundation Health Plan IncGroup PAC ID 1850205360, 107 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kaiser Foundation Health Plan Inc

  • Radiology Clinic/Center
  • Honolulu, HI
  • NPI 1063515567
  Medicare reassignment Care Compare group NPD
• Kaiser Foundation Health Plan Inc

  • Clinical Medical Laboratory
  • Kapolei, HI
  • NPI 1194730572
  NPD
• Kaiser Foundation Health Plan, Inc

  • Rural Health Clinic/Center
  • Kahuku, HI
  • NPI 1245773936
  NPD
• Dorman and Associates PLC

  • Psychologist
  • Kalamazoo, MI
  • NPI 1275737413
  NPD (past)
• Michigan Integrated Therapies

  • Mental Health Counselor
  • Portage, MI
  • NPI 1003522061
  NPD (past)
• Michigan Integrated Therapies

  • Mental Health Counselor
  • Portage, MI
  • NPI 1275032807
  NPD (past)

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1922407923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1802",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1600",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144407",
            "telephone_number": "808-432-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Kapiolani Blvd Ste 1802",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144408",
            "country_code": "US",
            "telephone_number": "808-525-6255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Howard St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490012748",
            "country_code": "US",
            "telephone_number": "269-344-4458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8080 Moorsbridge Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490244422",
            "country_code": "US",
            "telephone_number": "269-795-6681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6963 W Kl Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490098043",
            "country_code": "US",
            "telephone_number": "269-544-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "PSYD, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-03134",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095273",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "2124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepraj Kaur Pawar, MD
• David James Pawlak, LCSW
• Kimberly Payawal
• Patrice Payne-Fatty
• James Payne, IDC
• Angela Colleen Alcid Payumo, M.D.
• PC 800 Inc
• Pcdi Healthcare and Consultants of Texas
• Summer Peach, M.S. CCC-SLP
• Peak Performance Chiropractic Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.