Tracy Miyoko Taniguchi Yamasaki, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1320 Issued in HI

Practice address

688 Kinoole St Ste 206
Hilo, HI 96720-3869

Phone

(808) 227-7682

NPI assigned

Apr 25, 2012

Last updated

Nov 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tracy M Taniguchi Psy D LLC

  • Clinical Psychologist
  • Hilo, HI
  • NPI 1457724031
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1013275205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 KINOOLE ST STE 206",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203869",
            "telephone_number": "808-227-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 KINOOLE ST STE 206",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203869",
            "telephone_number": "808-227-7682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-211 Pali Momi St",
            "address_2": "Suite # 635",
            "address_purpose": "LOCATION",
            "city": "Aiea",
            "state": "HI",
            "postal_code": "967014301",
            "country_code": "US",
            "telephone_number": "808-227-7682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAMASAKI",
        "first_name": "TRACY MIYOKO",
        "middle_name": "TANIGUCHI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hilo",
            "affiliation": "N",
            "address_1": "688 Kinoole St Ste 206",
            "city": "Hilo",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967203869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Marie Yamaki, OT
• Erin Corinne Yamamoto, OD
• Scott Yamamoto
• Doris Yamanoha, RD
• Karla R Yamanoha
• Zachary H Yamasaki, L.AC
• Ken Matsuo Yamashiro, DDS
• Douglas Hiroshi Yamashita, MD
• Jenna Yamashita
• Kai Isao Yamashita, PHARM D.

• Clinical Psychologist in Hilo, HI
• Providers in Hilo, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.