DR. MARLENA FARM (PHD) – Clinical Psychologist, NPI 1609142645

DR. MARLENA FARM (PHD) is a healthcare provider. based in Haiku, Hawaii. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PSY-1572 (HI). The NPI Number for DR. MARLENA FARM (PHD) is 1609142645

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARLENA FARM (PHD)
NPI
1609142645
Phone
(808) 633-6946
Address
2491 NEHE PL APT A
Enumeration Date
23 March 2012
Last Update Date
28 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8084328800
Graduation Year
2014 (12 years ago)
PAC ID
7517352909
Group Practice PAC ID
1850205360
Professional Enrollment ID
I20220322001580
Address ID
HI968191469HO3288XRDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness95
Years active:14State licenses:1Other names

306 CLINICAL PSYCHOLOGIST in HI

Provider Addresses for DR. MARLENA FARM (PHD)

  • 2491 NEHE PL APT A

    HAIKU, HI 967085083

    Phone: (808) 633-6946

    Type: Location

  • 1136 CALIFORNIA AVE

    WAHIAWA, HI 967862343

    Phone:

    Type: Mailing

  • PO BOX 880040

    PUKALANI, HI 967880040

    Phone:

    Type: Mailing

  • 3612 Baldwin Ave Ste 107

    Makawao, HI 967689521

    Phone: (808) 633-1805

    Type: Location

  • 75 MAUI LANI PKWY

    WAILUKU, HI 967932463

    Phone: (808) 243-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220322001580IClinical PsychologistHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96708)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850205360View full group profile
NameSpecialtyState
Nurse PractitionerHI
Nurse PractitionerHI
-HI
-HI
-CO
Clinical PsychologistHI
Clinical PsychologistHI
Certified Registered Nurse Anesthetist (Crna)WA
Nurse PractitionerHI
-HI

Reviews

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Frequently asked questions

Is DR. MARLENA FARM (PHD) listed with a National Provider Identifier?
Yes — DR. MARLENA FARM (PHD) has NPI 1609142645 on file in the registry.
Would DR. MARLENA FARM (PHD) appear as active to a payer?
You can treat DR. MARLENA FARM (PHD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MARLENA FARM (PHD)?
At a glance, DR. MARLENA FARM (PHD) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MARLENA FARM (PHD)?
Travel planning: use Haiku, Hawaii as the reference point for DR. MARLENA FARM (PHD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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