Individual provider Active NPI

Julie H Nishihira, PSYD

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1033726534
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-1795 Issued in HI
Practice address
1164 Bishop St Ste 929
Honolulu, HI 96813-2882
Phone
(808) 308-5226
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-1795 HI
Psychologist 103T00000X PSY-1795 HI Primary

Addresses

Primary practice location

1164 Bishop St Ste 929
Honolulu, HI 96813-2882

Mailing address

35 N Kukui St Apt 2711
Honolulu, HI 96817-4161
Phone (808) 206-2671

Other practice location 1

35 N Kukui St Apt 2711
Honolulu, HI 96817-4161
Phone (808) 206-2671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 1, 2020 through Nov 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY-1795HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Julie H Nishihira PSYD LLC Psychologist CurrentSince Oct 1, 2020 Accepting new patients

Locations

1164 Bishop St
Ste 929
Honolulu, HI 96813
Phone (808) 391-3514

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1033726534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 N KUKUI ST APT 2711",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174161",
            "telephone_number": "808-206-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 BISHOP ST STE 929",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132882",
            "telephone_number": "808-308-5226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 N Kukui St Apt 2711",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968174161",
            "country_code": "US",
            "telephone_number": "808-206-2671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISHIHIRA",
        "first_name": "JULIE",
        "middle_name": "H",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1795",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-1795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.