DR. SHELLY LUDOLPH PSYD
NPI 1346784147
Psychologist - Clinical in Lihue, HI

Q: What is Shelly Ludolph's NPI number?

The NPI number for Shelly Ludolph is 1346784147. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Q: What is Shelly Ludolph's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shelly Ludolph was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since December 13, 2016PECOS EnrolledAccepts Medicare Assignment

3-3122 KUHIO HWY STE A15, LIHUE, HI 96766(808) 246-9102(808) 246-8609 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2020, Dec 13, 2016 (2 updates tracked since 2016).

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About Dr. Shelly Ludolph Psyd NPPES

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

DR. SHELLY LUDOLPH PSYD (NPI 1346784147) is an individual clinical provider in Lihue, Hawaii, licensed in Hawaii (1828) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1346784147

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHELLY LUDOLPHCredential: PSYD

Location Address3-3122 KUHIO HWY STE A15Lihue, HI 96766-1157

Mailing Address5108 Kuhina PlPrinceville, HI 96722-5116 · (808) 652-0466

Phone(808) 246-9102

Fax(808) 246-8609

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateDecember 13, 2016

Last NPPES UpdateJanuary 22, 20202 updates tracked since enumeration

✔ NPI 1346784147 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 · 1828

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.

3-3122 KUHIO HWY STE A15, Lihue, HI 96766

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shelly Ludolph Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42640153

PECOS Enrollment IDI20200413003053

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.05 typical visit price

range $60.53 – $180.05

Typical copayment $45.01 (range $15.13 – $45.01)

Most-billed visit code 99205

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COREY CRUZADA

Counselor (Mental Health)