Mary C. Needham, PH.D., LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY-1508 Issued in HI

Legal business name

MARY C. NEEDHAM, PH.D., LLC

Practice address

1221 Kapiolani Blvd PH 38
Honolulu, HI 96814-3518

Phone

(323) 686-2584

Fax

(866) 925-4284

NPI assigned

Mar 16, 2015

Last updated

Mar 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary C. Needham, PH.D.NPI 1255526562

Title

Licensed Psychologist

Phone

(323) 686-2584

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Christina Needham, PH.D.

  • Psychologist
  • Honolulu, HI
  • NPI 1255526562
  Authorized official Same address or phone

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1093108029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD PH 38",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143518",
            "telephone_number": "323-686-2584",
            "fax_number": "866-925-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD PH 38",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143518",
            "telephone_number": "323-686-2584",
            "fax_number": "866-925-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY C. NEEDHAM, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "NEEDHAM",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "323-686-2584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "HI",
            "license": "PSY-1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Community/Behavioral Health Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.