Individual provider Active NPI

Takako Vivian Ishimaru-Tseng, MD

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1043328511
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-10228 Issued in HI
Practice address
2228 Liliha St
Suite 101
Honolulu, HI 96817-1650
Phone
(808) 531-5070
Fax
(808) 531-5074
NPI assigned
Aug 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-10228 HI Primary

Addresses

Primary practice location

2228 Liliha St
Suite 101
Honolulu, HI 96817-1650

Mailing address

2228 Liliha St
Suite 101
Honolulu, HI 96817-1650
Phone (808) 531-5070

Other identifiers 1

IdentifierTypeStateIssuer
554908-01MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-10228HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mickey M.Y. Tseng, M.D., M.P.H., Inc. PastSince Sep 11, 1998 Accepting new patients

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": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1043328511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 LILIHA ST",
            "address_2": "SUITE 101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171650",
            "telephone_number": "808-531-5070",
            "fax_number": "808-531-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 LILIHA ST",
            "address_2": "SUITE 101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171650",
            "telephone_number": "808-531-5070",
            "fax_number": "808-531-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIMARU-TSENG",
        "first_name": "TAKAKO",
        "middle_name": "VIVIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-10228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554908-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.