MEDICARE: TERENCE C WADE PHD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY161	HI
2	1041C0700X	Clinical Social Worker	LCSW3168	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2911	OTHER	HI	ALOHACARE ID
2	9911634	OTHER	HI	UHA ID
3	B002	OTHER	HI	TRICARE ID
4	LSCW3168	OTHER	HI	MDX HAWAII ID
5	PSY161	OTHER	HI	HMAA ID
6	0000005926	OTHER	HI	HMSA ID
7	2912	OTHER	HI	ALOHACARE ID
8	208654	OTHER	HI	SUMMERLIN, HMA, HMN ID
9	2170634	OTHER	HI	UHA ID
10	B003	OTHER	HI	TRICARE ID
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	PSY161	OTHER	HI	MDX HAWAII ID
13	0000061655	OTHER	HI	HMSA ID
14	LCSW3168	OTHER	HI	HMAA ID
15	510372	OTHER	HI	SUMMERLIN, HMA, HMN ID

General Provider Information

NPI Number	:	1497951271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERENCE C WADE PHD INC

Provider Business Mailing Address
First Line	:	1188 BISHOP ST STE 3205
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-3313
Country	:	US
Telephone Number	:	808-545-7706
Fax Number	:	413-812-4219

Provider Business Practice Location Address
First Line	:	1188 BISHOP ST STE 3205
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-3313
Country	:	US
Telephone Number	:	808-545-7706
Fax Number	:	413-812-4219

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	MRS. DARLENE K WADE
Credential	:	LCSW
Telephone Number	:	808-545-7706

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	09/11/2025

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