DR. MARK SCOTT VERSCHELL


Address: 1312 Manu Aloha St, Kailua, HI 96734-4314
Phone: 8082829046

DR. MARK SCOTT VERSCHELL (NPI# 1790776664) 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) 1790776664
Entity Type Individual
Full Name DR. MARK SCOTT VERSCHELL
Credential PSY.D.
Practice Address 1312 Manu Aloha St
Kailua
HI 96734-4314
Practice Telephone 8082829046
Mailing Telephone 8082829046
Enumeration Date 2005-10-31
Last Update Date 2015-07-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
PSY-688 HI Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
PSY-688 HI Behavioral Health & Social Service Providers
N 103TH0100X Psychologist
Specialization: Health Service
PSY-688 HI Behavioral Health & Social Service Providers

Office Location

Street Address 1312 MANU ALOHA ST
City KAILUA
State HI
Zip Code 96734-4314

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1437776366 Amanda Lindsay Krasniewski Behavior Technician 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 2020-06-26
1760007108 Yoli Gabrielle Teran Behavior Technician 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 2020-06-11
1902427206 Amberlie Remily Behavior Technician 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 2020-04-28
1417586264 Jennifer Eng Marriage & Family Therapist 6842 Harris Ave, Kailua, HI 96734 2020-04-03
1023644523 Roxan Mae Sardido Okamoto Specialist 1178 Lunahana Place, Kailua, HI 96734 2020-03-16
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407339344 Dhira Dibiase Psychologist 341 Hualani St, Kailua, HI 96734-2202 2018-09-06
1831647031 Erin Fettes Psychologist 156 Kihapai St Apt B, Kailua, HI 96734-2630 2016-09-15
1053767004 Bracken Gott Psychologist 1530 Mokulua Dr, Kailua, HI 96734-3254 2016-05-09
1699187997 Andrea Hiura Psychologist 42-470 Kalanianaole Hwy Bldg 3, Kailua, HI 96734-4373 2014-05-21
1972934099 Elizabeth Keolani Taitano Psychologist 354 Uluniu St Ste 312, Kailua, HI 96734-2528 2013-11-30
1548502602 Brighter Day Health LLC Psychologist 354 Olomana St, Kailua, HI 96734-2217 2013-03-26
1326396037 Allison Gunderson Psychologist 111 Hekili St Ste A2306, Kailua, HI 96734-2800 2012-08-28
1649506650 Jessica Harper Psychologist 337 Uluniu St, Suite 201, Kailua, HI 96734 2009-10-26
1689889768 Paradigm Hawaii Counseling Inc Psychologist 970 N Kalaheo Ave Ste A216, Kailua, HI 96734-1869 2007-05-11
1609097781 Samantha Tavares Psychologist 43 Oneawa St Ste 211, Kailua, HI 96734-2526 2007-05-02
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Competitor

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City KAILUA
Zip Code 96734

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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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