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MARK D BREITHAUPT PHD INC
NPI 1902115082
Psychologist - Clinical in Wailuku, HI

Active since October 06, 2010
2200 MAIN ST, WAILUKU, HI 96793(808) 205-8403 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, Sep 9, 2019 (2 updates tracked since 2019).

About Mark D Breithaupt Phd Inc NPPES

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

MARK D BREITHAUPT PHD INC (NPI 1902115082) is a healthcare organization registered as a clinical in Wailuku, Hawaii and active in the NPI registry since October 2010. The organization lists Mark Douglas Breithaupt, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1902115082
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMARK D BREITHAUPT PHD INC
Location Address2200 MAIN STWailuku, HI 96793-1681
Mailing AddressPo Box 2632Wailuku, HI 96793-7632 · (808) 205-8403
Phone(808) 205-8403
Organization SubpartNo
Authorized OfficialMark Douglas BreithauptLicensed Clinical Psychologist · (808) 205-8403
Enumeration DateOctober 6, 2010
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1902115082 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 · PSY499
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.
2200 MAIN ST, Wailuku, HI 96793
Open in Google Maps ↗

Other Identifiers 2

Medicaid03451701HI
OtherHMSAHI · Hmsa

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

KARIN M ROHR
Counselor (Mental Health)
2200 MAIN ST
WAILUKU, HI 96793
Maui County (808) 283-5752
ROYAL RANDOLPH, JR., M.D., M.P.H., LLC
Psychiatry & Neurology (Psychiatry)
2200 MAIN ST, SUITE 517
WAILUKU, HI 96793
Maui County (808) 244-9677
MS. CAROL GEER FREITAS LCSW
Marriage & Family Therapist
2200 MAIN ST, SUITE 518
WAILUKU, HI 96793
Maui County (808) 281-4310
DR. THOMAS TSUNG-PING CHEN PSY.D.
Psychologist (Clinical)
2200 MAIN ST, SUITE #519
WAILUKU, HI 96793
Maui County (808) 205-4489
B.C.P., INC.
Home Health
2200 MAIN ST, SUITE 650
WAILUKU, HI 96793
Maui County (808) 244-4700
MS. PATRICIA J. NEAL L.C.S.W.
Social Worker (Clinical)
2200 MAIN ST, #518
WAILUKU, HI 96793
Maui County (808) 280-3848
BAYADA HOME CARE
Nursing Care
2200 MAIN ST, SUITE 650
WAILUKU, HI 96793
Maui County (808) 244-4700
B.C.P., INC.
Home Health
2200 MAIN ST, SUITE 660
WAILUKU, HI 96793
Maui County (808) 667-5440

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 Mark D Breithaupt Phd Inc's NPI number?

The NPI number for Mark D Breithaupt Phd Inc is 1902115082. It was assigned to this organization in the NPPES registry on October 6, 2010.

Where is Mark D Breithaupt Phd Inc located?

Mark D Breithaupt Phd Inc is located at 2200 Main St, Wailuku, HI 96793. The listed phone number is (808) 205-8403.

What is Mark D Breithaupt Phd Inc'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 Mark D Breithaupt Phd Inc was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.