Organization Active NPI

Kerrie B. Balmores

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1154509644
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
964 Issued in HI
Legal business name
KERRIE B. BALMORES
Practice address
1029 Kapahulu Ave Ste 406
Honolulu, HI 96816-1332
Phone
(808) 228-6057
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dr. Kerrie Boland Balmores, PSY.D.
Title
Psychologist
Phone
(808) 228-6057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 964 HI Primary

Addresses

Primary practice location

1029 Kapahulu Ave Ste 406
Honolulu, HI 96816-1332

Mailing address

1029 Kapahulu Ave
Suite 406
Honolulu, HI 96816
Phone (808) 228-6057

National Provider Directory

National Provider Directory

Locations

1029 Kapahulu Ave
Ste 406
Honolulu, HI 96816
Phone (808) 228-6057

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1154509644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 KAPAHULU AVE",
            "address_2": "SUITE 406",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-228-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 KAPAHULU AVE STE 406",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161332",
            "telephone_number": "808-228-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRIE B. BALMORES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "BALMORES",
        "authorized_official_first_name": "KERRIE",
        "authorized_official_middle_name": "BOLAND",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-228-6057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "964",
            "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 Feb 6, 2008; 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.