PACIFIC ENTERPRISE GROUP, LLC
PACIFIC ENTERPRISE GROUP, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1770897324, based in Aiea, HI. The organization lists 2 taxonomy classifications, with Clinical Neuropsychologist recorded as primary.
Getting there
The practice address on file is 98-501 KOAUKA LOOP A-702, Aiea, HI 96701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PSY1077 | HI | Adult Development & Aging Psychologist |
| PSY1077 | HI | Clinical Neuropsychologist primary |
This provider holds licence PSY1077 issued in HI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3072844976
- Enrollment ID
- O20191008000148
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinical Neuropsychologist covers
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. NUCC Health Care Provider Taxonomy, code 103G00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 103TA0700X | Adult Development & Aging Psychologist Adult Development & Aging | PSY1077 | HI | |
| 103G00000X | Clinical Neuropsychologist | PSY1077 | HI | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1770897324 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 5, 2010 |
| Last updated | Aug 5, 2010 |
| Status | Active |
| Practice address |
98-501 KOAUKA LOOP A-702 Aiea, HI 96701 (808) 927-9038 |
| Mailing address |
PO BOX 276 Aiea, HI 96701 |
| Other names |
Hawaii Memory Clinic Former Legal Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 7 | 0 | 8 | 9 | 7 | 3 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 5 | 0 | 7 | 9 | 5 | 3 | 4 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.