Healthcare Provider Details

I. General information

NPI: 1649186669
Provider Name (Legal Business Name): ALOHA PSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4740 LILLY PAD PL
MESILLA PARK NM
88047-9752
US

IV. Provider business mailing address

4740 LILLY PAD PL
MESILLA PARK NM
88047-9752
US

V. Phone/Fax

Practice location:
  • Phone: 808-256-6458
  • Fax:
Mailing address:
  • Phone: 808-256-6458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARSHALL SCHROEDER
Title or Position: CEO/OWNER
Credential: PSYD, MSCP
Phone: 808-256-6458