Provider Demographics
NPI:1326188905
Name:KAPPENBERG, RICHARD PAUL (PHD, ABMP)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PAUL
Last Name:KAPPENBERG
Suffix:
Gender:M
Credentials:PHD, ABMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 BISHOP STREET
Mailing Address - Street 2:SUITE 2870
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3482
Mailing Address - Country:US
Mailing Address - Phone:808-538-7793
Mailing Address - Fax:808-538-7799
Practice Address - Street 1:1001 BISHOP STREET
Practice Address - Street 2:SUITE 2870
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3482
Practice Address - Country:US
Practice Address - Phone:808-538-7793
Practice Address - Fax:808-538-7799
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI-PSY-106103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH0000TCBLWMedicare ID - Type Unspecified