PEARLRIDGE PSYCHOLOGICAL SERVICES, LLC (NPI# 1548692940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548692940 |
| Entity Type | Organization |
| Organization Name | PEARLRIDGE PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
98-084 Kamehameha Hwy Suite 306 Aiea HI 96701-5160 |
| Practice Telephone | 8084841190 |
| Practice Fax Number | 8086830643 |
| Mailing Telephone | 8084841190 |
| Mailing Fax Number | 8086830643 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |
| Authorized Official Name | DR. HERBERT M GUPTON (OWNER) |
| Authorized Official Telephone | 8084841190 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
W40186597-01 | HI | Ambulatory Health Care Facilities |
| Street Address |
98-084 KAMEHAMEHA HWY SUITE 306 |
| City | AIEA |
| State | HI |
| Zip Code | 96701-5160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572919 | Thomas E Henry | Psychiatry & Neurology | 98-084 Kamehameha Hwy, Suite 301b, Aiea, HI 96701-5160 | 2005-10-20 |
| 1053813246 | Misty Walton | Marriage & Family Therapist | 98-084 Kamehameha Hwy, Aiea, HI 96701-5160 | 2018-03-02 |
| 1275041535 | Brandy M West Bey | Marriage & Family Therapist | 98-084 Kamehameha Hwy, Aiea, HI 96701-5160 | 2018-01-19 |
| 1487990560 | Malama Project Inc | Social Worker | 98-084 Kamehameha Hwy, 303b, Aiea, HI 96701-5160 | 2012-12-18 |
| 1053436642 | Living Well Inc. | Psychologist | 98-084 Kamehameha Hwy, Suite 304, Aiea, HI 96701-5122 | 2007-03-20 |
| 1770626871 | Herbert M Gupton | Psychologist | 98-084 Kamehameha Hwy, Suite 306, Aiea, HI 96701-5122 | 2007-02-15 |
| 1962541557 | Bobbi Carlson | Psychologist | 98-084 Kamehameha Hwy, Suite 304, Aiea, HI 96701-5122 | 2007-02-06 |
| 1336189307 | Christina Kent | Psychologist | 98-084 Kamehameha Hwy, 304, Aiea, HI 96701-5160 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423516 | Deborah L Oshiro | Massage Therapist | 98-020 Kamehameha Hwy #206, Aiea, HI 96701 | 2020-10-08 |
| 1801407531 | Lana M Lipe | Social Worker | 99-040 Kauhale St Unit 729, Aiea, HI 96701 | 2020-08-14 |
| 1265043772 | Charissa Ono | Massage Therapist | 98-276 Ualo St. #l3, Aiea, HI 96701 | 2020-08-10 |
| 1548808173 | Kimberly Ervin | Behavior Technician | 98-543 Pono Street #a, Aiea, HI 96701 | 2019-12-13 |
| 1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
| 1053974329 | Kaleo Emmsley | Driver | 99-1225 Aiea Hieghts Drive, Aiea, HI 96701 | 2019-04-22 |
| 1740780949 | East 2 West Integrative Medicine LLC | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701 | 2018-02-14 |
| 1952821878 | Victoria Rivas | Behavior Technician | 99-870 Iwaena Street #101, Aiea, HI 96701 | 2017-06-21 |
| 1861850307 | Shanda Strickland | Behavioral Analyst | 98-820 Moanalua Rd Space 5, Pmb 161, Aiea, HI 96701 | 2016-01-28 |
| 1134591365 | Marissa Matsuyama | Optometrist | 99-128 Aiea Heights Dr Ste 703, Aiea, HI 96701 | 2015-10-27 |
| Find all providers in zip 96701 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558608406 | Angela K. Wai, M.d.inc | Clinic/Center | 99-115 Aiea Heights Dr Ste 207, Aiea, HI 96701-3974 | 2013-01-12 |
| 1447804083 | Jon Cooney Md LLC | Clinic/Center | 98-211 Pali Momi St Ste 414, Aiea, HI 96701-4318 | 2019-07-31 |
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| 1366901472 | Bridgette Grant Lcsw LLC | Clinic/Center | 4435 Lower Honoapiillani Rd, 142, Lahaina, HI 96761 | 2019-03-18 |
| 1003375338 | The Journey Therapy LLC | Clinic/Center | 328 Uluniu St Ste 202, Kailua, HI 96734-2542 | 2019-03-16 |
| 1053896266 | Magellan Therapeutic Services, LLC | Clinic/Center | 94-1388 Moaniani St Ste 214, Waipahu, HI 96797-6604 | 2018-10-03 |
| 1740765031 | Kessler Services, LLC | Clinic/Center | 7 Aewa Pl Ste 7, Makawao, HI 96768-8882 | 2018-10-02 |
| 1649769019 | Hawaii Clinical Psychology, LLC | Clinic/Center | 1188 Bishop St Ste 3005, Honolulu, HI 96813-3312 | 2018-05-01 |
| 1942465455 | Heal Counseling Center, LLC | Clinic/Center | 5257 Kalanianaole Hwy, Honolulu, HI 96821-1840 | 2008-07-23 |
| 1578615514 | Big Island Substance Abuse Council | Clinic/Center | 297 Waianuenue Avenue, Hilo, HI 96720-2438 | 2007-01-18 |
| 1811597081 | Nikki Moravec, Psyd, LLC | Clinic/Center | 1164 Bishop St Ste 1510, Honolulu, HI 96813-2817 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.