Lisa Duke PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 1154 Issued in HI

Legal business name

LISA DUKE PHD LLC

Practice address

1001 Kamokila Blvd Ste 151
Kapolei, HI 96707-2090

Phone

(808) 226-8204

Fax

(808) 676-9250

NPI assigned

May 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Ann Duke, PHDNPI 1417284514

Title

Owner/Psychologist

Phone

(808) 226-8204

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 2

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.

• Lisa Ann Duke, PHD

  • Clinical Neuropsychologist
  • Kapolei, HI
  • NPI 1417284514
  Medicare reassignment NPD Authorized official
• Chad Thomas Taylor, PSY.D.

  • Psychologist
  • Waianae, HI
  • NPI 1336207760
  NPD (past)

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1184942849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-1017 KOIO DR APT R",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074291",
            "telephone_number": "808-226-8204",
            "fax_number": "808-676-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD STE 151",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072090",
            "telephone_number": "808-226-8204",
            "fax_number": "808-676-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA DUKE PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-226-8204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY 1154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISA DUKE INDIVIDUAL NPI",
            "identifier": "1417284514",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Samuel Liebman, LMT, RN
• Joshua I Ligot, LMT
• Catrina Liner, AUD
• Analisa Liotta
• Lisa Chun Fat LLC
• Matthew Lisiak, PHARMD
• Amber Ping Liu, D.D.S.
• Richard Wen-Jou Liu, D.D.S.
• Kiki Livai
• Living Healthy Nutrition Consultants

• Clinical Psychologist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.