Dr Hawken Shields, PSYD is a
Psychologist - Clinical based in Holualoa, Hawaii. Dr Hawken Shields is licensed to practice in Hawaii (license number PSY-838) and his current practice location is
76-5914 Mamalahoa Hwy, Holualoa, Hawaii. He can be reached at his office (for appointments etc.) via phone at
(808) 640-0645.
NPI number for Dr Hawken Shields is 1972666105 and his current mailing address is Po Box 1546, Kealakekua, Hawaii. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972666105.
Healthcare Provider's Profile
| Full Name | Dr Hawken Shields |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 76-5914 Mamalahoa Hwy, Holualoa, Hawaii |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972666105
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 08/24/2011
Medical Identifiers
Medical identifiers for Dr Hawken Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972666105 | NPI | - | NPPES |
| 57177001 | Medicaid | HI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY-838 (Hawaii) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hawken Shields is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Hawken Shields, PSYD
Po Box 1546,
Kealakekua, HI 96750-1546
Ph: (808) 640-0645 | Dr Hawken Shields, PSYD
76-5914 Mamalahoa Hwy,
Holualoa, HI 96725
Ph: (808) 640-0645 |
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