Individual provider Active NPI

Coren Scott Seichi Kajioka, PSY.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1063775740
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1523 Issued in HI
Practice address
1001 Bishop St
Suite 1510
Honolulu, HI 96813-3429
Phone
(808) 591-9998
Fax
(808) 591-9992
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X
Clinical Psychologist 103TC0700X 1523 HI Primary
Psychologist 103T00000X 1523 HI
Clinical Child & Adolescent Psychologist 103TC2200X 1523 HI
Adult Development & Aging Psychologist 103TA0700X 1523 HI
Family Psychologist 103TF0000X 1523 HI

Addresses

Primary practice location

1001 Bishop St
Suite 1510
Honolulu, HI 96813-3429

Mailing address

638 9TH Ave
Honolulu, HI 96816-2101
Phone (808) 368-6864

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

State licenses

LicenseStateTypeSpecialty
1523HIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1063775740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 9TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162101",
            "telephone_number": "808-368-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST",
            "address_2": "SUITE 1510",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133429",
            "telephone_number": "808-591-9998",
            "fax_number": "808-591-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJIOKA",
        "first_name": "COREN SCOTT",
        "middle_name": "SEICHI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1523",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "1523",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "HI",
            "license": "1523",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "HI",
            "license": "1523",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "HI",
            "license": "1523",
            "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 Apr 13, 2015; 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.