LIFE MASTER LLC
NPI 1083970545
Psychologist in Honolulu, HI

Active since April 09, 2012
2957 KALAKAUA AVE, SUITE 601, HONOLULU, HI 96815(808) 737-6277 Get Directions Write a Review

NPPES record last updated: April 9, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Life Master Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE MASTER LLC (NPI 1083970545) is a healthcare organization registered as a psychologist in Honolulu, Hawaii and active in the NPI registry since April 2012. The organization lists Mitzi Gold, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1083970545
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameLIFE MASTER LLC
Location Address2957 KALAKAUA AVE, SUITE 601Honolulu, HI 96815-4650
Mailing Address2957 Kalakaua Avenue, Suite 601Honolulu, HI 96815 · (808) 737-6277
Organization SubpartNo
Authorized OfficialMitzi GoldPsychologist · (808) 737-6277
Enumeration DateApril 9, 2012
✔ NPI 1083970545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in HI · 663
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 3105 (HI)
2957 KALAKAUA AVE, Honolulu, HI 96815

Other Identifiers 1

Medicaid55077401HI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Master Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateHawaiiEnrollment IDO20120629000191Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Life Master LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1093750895
1016 KAPAHULU AVE
Honolulu, HI 96816
(808) 737-6277
✔ PECOS✔ Accepts Medicare1.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Master LLC's NPI number?

The NPI number for Life Master LLC is 1083970545. It was assigned to this organization in the NPPES registry on April 9, 2012.

Where is Life Master LLC located?

Life Master LLC is located at 2957 Kalakaua Ave Suite 601, Honolulu, HI 96815. The listed phone number is (808) 737-6277.

What is Life Master LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Life Master LLC enrolled in Medicare?

Yes. Life Master LLC is registered in the Medicare PECOS enrollment system.

When is Life Master LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Life Master LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Life Master LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Master LLC was last updated on April 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.