Individual provider Active NPI

Janet Phillips, PH.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1053555060
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 1224 Issued in HI
Practice address
6600 Kalanianaole Hwy
Suite 225
Honolulu, HI 96825-1273
Phone
(808) 236-8221
Fax
(808) 263-8222
NPI assigned
Apr 22, 2009
Last updated
Oct 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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 1224 HI Primary
Clinical Psychologist 103TC0700X PY 8051 FL

Addresses

Primary practice location

6600 Kalanianaole Hwy
Suite 225
Honolulu, HI 96825-1273

Mailing address

909 Kapiolani Blvd
Unit 2702
Honolulu, HI 96814-2199
Phone (808) 236-8221

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 8051FLMDClinical Psychologist
PSY 1224HIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1053555060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 KAPIOLANI BLVD",
            "address_2": "UNIT 2702",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142199",
            "telephone_number": "808-236-8221",
            "fax_number": "808-236-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 KALANIANAOLE HWY",
            "address_2": "SUITE 225",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251273",
            "telephone_number": "808-236-8221",
            "fax_number": "808-263-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JANET",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY 1224",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8051",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 28, 2013; 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.