DR. DARAH ELAINE WALLSTEN (PSYD) – Psychologist, NPI 1831476985
Psychologist
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
306 CLINICAL PSYCHOLOGIST in HI
Provider Addresses for DR. DARAH ELAINE WALLSTEN (PSYD)
16-566 Keaau Pahoa Rd # 614
Keaau, HI 967498137
Phone: (808) 756-5030
Type: Location
324 N. QUEEN STREET
KINSTON, NC 285014932
Phone: (252) 522-9800
Fax: (252) 522-9854
Type: Mailing
324 N QUEEN ST
KINSTON, NC 285014932
Phone: (252) 522-9800
Fax: (252) 522-9854
Type: Location
16-566 KEAAU PAHOA RD # 614
KEAAU, HI 967498137
Phone: (808) 756-5030
Type: Mailing
636 CHURCH ST STE 405
EVANSTON, IL 602014580
Phone: (847) 250-9959
Fax: (847) 306-8118
Type: Location
1441 ALA MOANA BLVD STE 1600
HONOLULU, HI 96814
Phone: (808) 432-7600
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.
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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: 2014-09-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140912000506 | I | Clinical Psychologist | HI | TBD |
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.
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 96749)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | HI | |
| Nurse Practitioner | HI | |
| - | HI | |
| - | HI | |
| - | CO | |
| Clinical Psychologist | HI | |
| Clinical Psychologist | HI | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Nurse Practitioner | HI | |
| - | HI |
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