Individual provider · Type 1 NPI

Mark Douglas Breithaupt, PhD

Clinical Psychologist · Wailuku, HI

NPI number 1053436337 Active

Practice location

2200 Main St Ste 510
Wailuku, HI 96793-1624

Mailing address

PO Box 2632
Wailuku, HI 96793-7632

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XPSY 499 (HI)
Marriage & Family Therapist 106H00000XPSY 499 (HI)
Clinical Psychologist Primary 103TC0700XPSY 499 (HI)

Clinical Psychologist: 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 discip…

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About NPI 1053436337

Mark Douglas Breithaupt, PhD's National Provider Identifier is 1053436337, issued on Mar 19, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Wailuku, HI. The record was last updated on May 19, 2025.