MEDICARE: GEROPSYCHOLOGY ASSOCIATES, LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0 022988-0	OTHER	HI	HMSA/HMSA 65C NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841232030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEROPSYCHOLOGY ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	111 HEKILI ST
Second Line	:	STE. A196
City	:	KAILUA
State	:	HI
Zip	:	96734-2800
Country	:	US
Telephone Number	:	808-236-2260
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 HEKILI ST
Second Line	:	STE. A196
City	:	KAILUA
State	:	HI
Zip	:	96734-2800
Country	:	US
Telephone Number	:	808-236-2260
Fax Number	:

Authorized Official
Title or Position	:	AGENT, MEMBER, MEMBER
Name	:	DAVID ROSS
Credential	:
Telephone Number	:	808-236-2260

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1275481509 — CLAIRE XU
Practice Location Address:

111 HEKILI ST STE A
KAILUA, HI
96734-2800

Practice Phone: 804-363-8616
Practice Fax:

1700077708 — DR. NORMAN DABALOS D.C.
Practice Location Address:

111 HEKILI ST # A225
KAILUA, HI
96734-2800

Practice Phone: 808-321-9034
Practice Fax:

1144514001 — MRS. KAUINOHEA CORREA CCC-SLP
Practice Location Address:

111 HEKILI ST # A116
KAILUA, HI
96734-2800

Practice Phone: 480-688-8955
Practice Fax:

1326396037 — ALLISON GUNDERSON PSY.D.
Practice Location Address:

111 HEKILI ST STE A2306
KAILUA, HI
96734-2800

Practice Phone: 808-388-4724
Practice Fax:

1265874309 — DR. JOHN D HADDOCK DVM
Practice Location Address:

111 HEKILI ST STE 104
KAILUA, HI
96734-2800

Practice Phone: 808-263-8863
Practice Fax: 808-263-3601

1043652100 — DR. JILL YOSHICEDO DVM
Practice Location Address:

111 HEKILI ST , STE 104
KAILUA, HI
96734-2800

Practice Phone: 808-263-8863
Practice Fax: 808-263-3601

Directions to “GEROPSYCHOLOGY ASSOCIATES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.