Active NPI
Diane L Raleigh, PHD
- Psychologist
- Honolulu, HI
National Provider Identifier
1952391013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY450
- Practice address
- 224 Lumahai PL
Honolulu, HI 96825-2120 - Phone
- (808) 396-9758
- Fax
- (808) 396-9781
- NPI assigned
- Oct 28, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY450 | HI | Primary |
Addresses
Primary practice location
224 Lumahai PL
Honolulu, HI 96825-2120
Mailing address
224 Lumahai PL
Honolulu, HI 96825-2120
Phone (808) 396-9758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91967 | Other | HMSA |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY450 | HI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1952391013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 LUMAHAI PL",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968252120",
"telephone_number": "808-396-9758",
"fax_number": "808-396-9781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 LUMAHAI PL",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968252120",
"telephone_number": "808-396-9758",
"fax_number": "808-396-9781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALEIGH",
"first_name": "DIANE",
"middle_name": "L",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-28",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY450",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "91967",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.