Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edward James Wilfong, PHD

Individual provider Clinical Psychologist · NPI 1215386248

Dr. Edward James Wilfong, PHD is a Clinical Psychologist in Makawao, Hawaii. Qualified in 1982, 44 years ago. Practices with Seatac Senior Psychology LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
44
Licensed in
HI
In the registry since
2016
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

331A Pukalani St
Makawao, HI 96768-8433
Phone: (808) 666-9766
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-1809 (HI)

Record details

NPI number1215386248
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 9, 2016
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Seatac Senior Psychology Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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