Jenny Ebesutani PSYD LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JENNY EBESUTANI PSYD LLC

Practice address

1100 Ward Ave Ste 665
Honolulu, HI 96814-1619

Phone

(808) 304-1565

NPI assigned

Feb 3, 2022

Last updated

Feb 3, 2022By 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. Jenny Ebesutani, PSYDNPI 1992957245

Title

Psychologist, Owner

Phone

(808) 304-1565

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.

• Jenny Rebecca Ebesutani, PSY.D.

  • Psychologist
  • Honolulu, HI
  • NPI 1992957245
  Authorized official Same address or phone

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1093469553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235665",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968233511",
            "telephone_number": "808-304-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE STE 665",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141619",
            "telephone_number": "808-304-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY EBESUTANI PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "EBESUTANI",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "808-304-1565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Quinn-Hastings LLC
• Jennifer S Ito MD LLC
• Angela Lee Jennings, PHARMD
• Taryn Jennings, DPT
• Jenny Chung Nutrition, LLC
• Jenny Welham, MD LLC
• Jasmin Sue Jensen, M.D.
• Jordan M. Jensen, MD
• Mark Jenssen
• Anthone T Jeon, NP-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.