Individual provider Active NPI

Weston Zichittella, PSY.D.

  • Psychologist
  • Kailua, HI
National Provider Identifier
1962658252
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1301 Issued in HI
Practice address
147-2 Oko St.
Kailua, HI 96734
Phone
(808) 397-6122
NPI assigned
Aug 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1301 HI Primary

Addresses

Primary practice location

147-2 Oko St.
Kailua, HI 96734

Mailing address

98-084 Kamehameha Hwy Ste 301a
Aiea, HI 96701-5124
Phone (808) 484-1122

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130611000849 HI Practitioner - Clinical Psychologist 3779722392 Practice locations: Kaneohe, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45-1123 Kamehameha Hwy
Suite D
Kaneohe, HI 96744-3252
Phone (808) 397-6122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1301HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Weston Zichittella PSYD Inc. Psychologist CurrentSince Apr 21, 2024 Accepting new patients
Islands Hospice, Inc. PastSince Jun 1, 2013 Accepting new patients

Locations

970 N Kalaheo Ave
Ste A314
Kailua, HI 96734
Phone (808) 225-2193

Organizations & group practices 2

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1962658252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-084 KAMEHAMEHA HWY STE 301A",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015124",
            "telephone_number": "808-484-1122",
            "fax_number": "808-484-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147-2 OKO ST.",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-397-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICHITTELLA",
        "first_name": "WESTON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.