Mark Douglas Breithaupt, PH.D.
NPI 1053436337ActiveIndividual· Psychologist, Clinical· Wailuku, HI
Psychologist, Clinical (PH.D.) in Wailuku, Hawaii, licensed in HI, with an NPI issued in March 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1053436337 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Mar 19, 2007 |
| Last updated in NPPES | May 19, 2025 |
| Certified by provider | May 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY 499 | HI |
| Psychologist | 103T00000X | PSY 499 | HI |
| Marriage & Family Therapist | 106H00000X | PSY 499 | HI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (HI) |
|---|
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Other clinical psychologists in Wailuku
- 1134962806
- 1235628587
- 1386798395
- 1518831452
- 1548366636
- 1790993541
- 1902115082
- 1295800639
- 1457531535
- 1518042506
- 1609142645
- 1679748388
All 24 clinical psychologists in Wailuku · All clinical psychologists in Hawaii