Active NPI
Brenda H Edmonds, PSY.D.
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1154311850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-830
- Practice address
- 1 Jarrett White Road Tripler Army Medical Center
Honolulu, HI 96857-5000 - Phone
- (808) 433-8700
- NPI assigned
- Oct 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-830 | HI | Primary |
Addresses
Primary practice location
1 Jarrett White Road Tripler Army Medical Center
Honolulu, HI 96857-5000
Mailing address
5333 Likini St
#109
Honolulu, HI 96818-1762
Phone (808) 833-7791
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-830 | HI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1154311850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5333 LIKINI ST",
"address_2": "#109",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968181762",
"telephone_number": "808-833-7791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE ROAD TRIPLER ARMY MEDICAL CENTER",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968575000",
"telephone_number": "808-433-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDS",
"first_name": "BRENDA",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-24",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY-830",
"primary": true
}
],
"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 Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.