Individual provider Active NPI

Nicole Moravec, PSY.D

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1972879872
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 1314 Issued in HI
Practice address
1164 Bishop St Ste 1510
Honolulu, HI 96813-2817
Phone
(808) 492-8780
NPI assigned
Mar 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 1314 HI Primary
Psychologist 103T00000X 1314 HI

Addresses

Primary practice location

1164 Bishop St Ste 1510
Honolulu, HI 96813-2817

Mailing address

1164 Bishop St Ste 1510
Honolulu, HI 96813-2817
Phone (808) 492-8780

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
I20260216000791 HI Practitioner - Clinical Psychologist 3476033879 Practice locations: Honolulu, 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)

1164 Bishop St
Suite 1510
Honolulu, HI 96813-2816

1164 Bishop St
Suite 1510
Honolulu, HI 96813-2817
Phone (808) 492-8780

1800 Kaioo Dr Apt
C301
Honolulu, HI 96815-5828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1314HIMDPsychologist
PSY 1314HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nikki Moravec, PSYD, LLC Current Accepting new patients

Locations

1164 Bishop St
Ste 1510
Honolulu, HI 96813
Phone (808) 286-4956

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.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1972879872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 BISHOP ST STE 1510",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132817",
            "telephone_number": "808-492-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 BISHOP ST STE 1510",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132817",
            "telephone_number": "808-492-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAVEC",
        "first_name": "NICOLE",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY 1314",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "1314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.