DR. CP KELLY BASS PHD
NPI 1457423352
Psychologist - Clinical in Wailuku, HI

Active since November 15, 2006
1129 E MAIN ST, 305, WAILUKU, HI 96793(808) 242-7011(808) 244-9010 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Psychologist
  • Clinical

About CP BASS

This page provides the complete NPI Profile along with additional information for Cp Bass, a provider established in Wailuku, Hawaii with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1457423352 assigned on November 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 292 (HI). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1457423352 Verify this NPI
Provider Name
DR. CP KELLY BASS PHD
Gender
Female
Entity Type
Individual
Location Address
1129 E MAIN ST 305 WAILUKU, HI 96793
Location Phone
(808) 242-7011
Location Fax
(808) 244-9010
Mailing Address
1129 E MAIN ST 305 WAILUKU, HI 96793
Mailing Phone
(808) 242-7011
Mailing Fax
(808) 244-9010
Is Sole Proprietor?
Yes
Enumeration Date
11-15-2006
Last Update Date
12-05-2012
Code Navigator

A clinical psychologist like Cp Bass assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
292
License State
HI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01542101MEDICAID (05)HI 
000077OTHER (01)HIHMAA
H0000TCBHBOTHER (01)HIMEDICARE PTAN
R75194MEDICARE UPIN (02) 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457423352, enumerated as an "individual" on November 15, 2006.

The provider is located at 1129 E MAIN ST 305 WAILUKU, HI 96793 and the phone number is (808) 242-7011.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.