Mark D Breithaupt PHD Inc
NPI 1902115082ActiveOrganization· Psychologist, Clinical· Wailuku, HI
Psychologist, Clinical in Wailuku, Hawaii, registered in NPPES in October 2010. The authorized official on file is Mark Douglas Breithaupt, PHD, Licensed Clinical Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902115082 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 6, 2010 |
| Last updated in NPPES | May 19, 2025 |
| Certified by provider | May 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY499 | 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 Part B Supplier - Clinic/Group Practice (HI) |
|---|
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