Active NPI
Nicole Moravec, PSY.D
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1972879872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 1314
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1314 | HI | MD | Psychologist |
| PSY 1314 | HI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Adult Mental Health Clinic/Center
- Honolulu, HI
- NPI 1811597081
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.