GAIL LYNN TICE


Address: 1029 Kapahulu Ave, 405, Honolulu, HI 96816-1305
Phone: 8083875307

GAIL LYNN TICE (NPI# 1225133481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225133481
Entity Type Individual
Full Name GAIL LYNN TICE
Credential PSY.D.
Practice Address 1029 Kapahulu Ave
405
Honolulu
HI 96816-1305
Mailing Address P.o. Box 161191
Honolulu
HI 96816
Practice Telephone 8083875307
Practice Fax Number 8082187884
Mailing Telephone 8083875307
Mailing Fax Number 8082187884
Enumeration Date 2006-09-13
Last Update Date 2008-01-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY 899 HI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
HI GROUP NPI 1225133481 01

Office Location

Street Address 1029 KAPAHULU AVE
405
City HONOLULU
State HI
Zip Code 96816-1305

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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Competitor

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City HONOLULU
Zip Code 96816

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Dataset Information

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.

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