Active NPI
Kenneth John Tremayne, PSY.D.
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1154549947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 667
- Practice address
- 1 Jarrett White Rd
Honolulu, HI 96819 - Phone
- (808) 433-4411
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 667 | HI | Primary |
Addresses
Primary practice location
1 Jarrett White Rd
Honolulu, HI 96819
Mailing address
95-1001 Hoama St
Mililani, HI 96789-5532
Phone (808) 626-1379
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 |
|---|---|---|---|
| 667 | HI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1154549947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-1001 HOAMA ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967895532",
"telephone_number": "808-626-1379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96819",
"telephone_number": "808-433-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREMAYNE",
"first_name": "KENNETH",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2023-11-13",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "667",
"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 Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.