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: August 16, 2026.

About Dr. Cp Kelly Bass Phd NPPES

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

DR. CP KELLY BASS PHD (NPI 1457423352) is an individual clinical provider in Wailuku, Hawaii, licensed in Hawaii (292) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1457423352
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CP KELLY BASSCredential: PHD
Location Address1129 E MAIN ST, 305Wailuku, HI 96793-2053
Mailing Address1129 E Main St, 305Wailuku, HI 96793-2053 · (808) 242-7011 · Fax (808) 244-9010
Fax(808) 244-9010
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateDecember 5, 2012
NPI 1457423352 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 · 292
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.
1129 E MAIN ST, Wailuku, HI 96793

Other Identifiers 4

Medicaid01542101HI
Other000077HI · Hmaa
OtherH0000TCBHBHI · Medicare Ptan
Medicare UPINR75194

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 Cp Bass's NPI number?

The NPI number for Cp Bass is 1457423352. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Cp Bass located?

Cp Bass practices at 1129 E Main St 305, Wailuku, HI 96793. The listed phone number is (808) 242-7011.

What is Cp Bass's specialty?

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

When was this NPI record last updated?

The NPPES record for Cp Bass was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.