Active NPI
Gerald Mark Brouwers, PH.D.
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1972810893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 445
- Practice address
- 4211 Waialae Ave
Kahala Office Tower, Suite 307
Honolulu, HI 96816-5319 - Phone
- (808) 737-3800
- Fax
- (808) 737-9918
- NPI assigned
- Sep 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 445 | HI | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 445 | HI |
Addresses
Primary practice location
4211 Waialae Ave
Kahala Office Tower, Suite 307
Honolulu, HI 96816-5319
Mailing address
PO Box 61127
Honolulu, HI 96839-1127
Phone (808) 220-6689
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 Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 445 | HI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kia Clinical Services | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Honolulu, HI
- NPI 1992568133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1972810893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61127",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968391127",
"telephone_number": "808-220-6689",
"fax_number": "808-732-3824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 WAIALAE AVE",
"address_2": "KAHALA OFFICE TOWER, SUITE 307",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165319",
"telephone_number": "808-737-3800",
"fax_number": "808-737-9918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUWERS",
"first_name": "GERALD",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-13",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "445",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "HI",
"license": "445",
"primary": false
}
],
"identifiers": [],
"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 Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.