National Provider Identifier Database

MARK D BREITHAUPT, PhD – NPI #1053436337
Clinical

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.


Contact Information

MARK D BREITHAUPT, PhD
2200 MAIN ST STE 510
WAILUKU, HI96793-1624
Phone: 808-205-8403
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X
Marriage & Family Therapist 106H00000X
Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for MARK D BREITHAUPT

NPI Number 1053436337
Credentials PhD
Entity Individual
Enumeration date 03/19/2007
Last updated 05/19/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • HI License #: PSY 499
  • HI Medicaid: 03451701
  • HI Other: A 3812-3 HMSA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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