Mark D Breithaupt PHD Inc
NPI 1902115082 · Clinical Psychologist · Wailuku, HI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark D Breithaupt PHD Inc is a Clinical Psychologist organization in Wailuku, HI (NPI 1902115082).
Provider details
- NPI number
- 1902115082
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Mark Breithaupt, Licensed Clinical Psychologist(808) 205-8403
- License
- PSY499 (HI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-10-06
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Frequently asked questions
- What is Mark D Breithaupt PHD Inc's NPI number?
- Mark D Breithaupt PHD Inc's National Provider Identifier (NPI) is 1902115082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark D Breithaupt PHD Inc?
- Mark D Breithaupt PHD Inc is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Mark D Breithaupt PHD Inc located?
- Mark D Breithaupt PHD Inc's practice location on file with NPPES is 2200 Main St, Wailuku, HI 96793-1681.
- What is Mark D Breithaupt PHD Inc's phone number?
- The practice phone number listed in the NPPES registry for Mark D Breithaupt PHD Inc is (808) 205-8403.
- Does Mark D Breithaupt PHD Inc accept Medicare?
- Mark D Breithaupt PHD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mark D Breithaupt PHD Inc?
- The authorized official listed on Mark D Breithaupt PHD Inc's NPPES record is Mark Breithaupt, Licensed Clinical Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark D Breithaupt PHD Inc's NPI active?
- Yes — Mark D Breithaupt PHD Inc's NPI (1902115082) is active in the NPPES registry as of the last update on 2025-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.