Provider Demographics
NPI:1235628587
Name:ELLEN R. CARINGER PHD INC.
Entity Type:Organization
Organization Name:ELLEN R. CARINGER PHD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:CARINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-281-7463
Mailing Address - Street 1:1885 MAIN ST STE 207
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1827
Mailing Address - Country:US
Mailing Address - Phone:808-249-0253
Mailing Address - Fax:808-249-0223
Practice Address - Street 1:1885 MAIN ST STE 207
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1827
Practice Address - Country:US
Practice Address - Phone:808-249-0253
Practice Address - Fax:808-249-0223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI347103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1255476354OtherNPI NUMBER