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PSYCHOLOGICAL SERVICE CENTER, LLC
NPI 1194964353
Psychologist - Clinical in Makawao, HI

Active since February 11, 2009
1135 MAKAWAO AVE, MAKAWAO, HI 96768(808) 280-9457(808) 572-0311 Get Directions Write a Review

NPPES record last updated: February 11, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Psychological Service Center, Llc NPPES

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

PSYCHOLOGICAL SERVICE CENTER, LLC (NPI 1194964353) is a healthcare organization registered as a clinical in Makawao, Hawaii and active in the NPI registry since February 2009. The organization lists Daniel J Lane, Chief Psychologist, as its authorized official.

NPPES Registry Identity

NPI1194964353
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePSYCHOLOGICAL SERVICE CENTER, LLC
Location Address1135 MAKAWAO AVEMakawao, HI 96768-7403
Mailing Address126 Peni PlKula, HI 96790-8772 · (808) 280-9457 · Fax (808) 572-0311
Phone(808) 280-9457
Fax(808) 572-0311
Organization SubpartNo
Authorized OfficialDaniel J LaneChief Psychologist · (808) 280-9457
Enumeration DateFebruary 11, 2009
✔ NPI 1194964353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in HI · PSY
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1135 MAKAWAO AVE, Makawao, HI 96768
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Other Identifiers 5

Other00A0258473HI · Hmsa
Other548195324HI · University Health Alliance
Other57950000-1HI · Aloha Care Quest
Medicaid57950002HI
Medicare PIN101482HI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychological Service Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Psychological Service Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Daniel Lane, PH.D.
Clinical Psychologist
NPI 1457445934
1135 MAKAWAO AVE SUITE #204
Makawao, HI 96768
(808) 280-9457
✔ PECOS✔ Accepts MedicareSame address

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 Psychological Service Center, LLC's NPI number?

The NPI number for Psychological Service Center, LLC is 1194964353. It was assigned to this organization in the NPPES registry on February 11, 2009.

Where is Psychological Service Center, LLC located?

Psychological Service Center, LLC is located at 1135 Makawao Ave, Makawao, HI 96768. The listed phone number is (808) 280-9457.

What is Psychological Service Center, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Psychological Service Center, LLC enrolled in Medicare?

Yes. Psychological Service Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychological Service Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Psychological Service Center, 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 Psychological Service Center, LLC was last updated on February 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.