Individual provider Active NPI

Kelsey Fujinaka, PSY.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1205345618
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-1691 Issued in HI
Practice address
1441 Kapiolani Blvd Ste 1802
Honolulu, HI 96814-4408
Phone
(808) 525-6255
Fax
(808) 525-6255
NPI assigned
Sep 28, 2017
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-1691 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 1802
Honolulu, HI 96814-4408

Mailing address

PO Box 25162
Honolulu, HI 96825-0162
Phone (808) 497-1404

Other practice location 1

6650 Hawaii Kai Dr Ste 208
Honolulu, HI 96825-1144
Phone (909) 698-0148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171019003132 HI Practitioner - Clinical Psychologist 8729354600 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
I Ola Lahui IncGroup PAC ID 0345420972, 6 clinicians

Practice addresses (Care Compare)

1441 Kapiolani Blvd
Suite 1802
Honolulu, HI 96814-4408
Phone (808) 525-6255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-1691HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
I Ola Lahui Inc Clinical CurrentSince Sep 29, 2017 Accepting new patients
Kelsey Fujinaka PSYD Clinical CurrentSince Mar 12, 2023 Accepting new patients
NA Pu Uwai CurrentSince Sep 29, 2017 Accepting new patients
NA Pu'Uwai PastSince Sep 29, 2017 Accepting new patients

Locations

1441 Kapiolani Blvd
Ste 1802
Honolulu, HI 96814
Phone (808) 525-6234

6650 Hawaii Kai Dr
Ste 208
Honolulu, HI 96825
Phone (808) 394-2800

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21516/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1205345618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25162",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250162",
            "telephone_number": "808-497-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 1802",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144408",
            "telephone_number": "808-525-6255",
            "fax_number": "808-525-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6650 Hawaii Kai Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968251144",
            "country_code": "US",
            "telephone_number": "909-698-0148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUJINAKA",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.