Active NPI
Phuong Thuy Thi Tran, PSY.D.
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1215968078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 939
- Practice address
- 55 Merchant St
22ND Floor
Honolulu, HI 96813-4306 - Phone
- (808) 535-7619
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 8, 2007
- 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 939 | HI | Primary |
Addresses
Primary practice location
55 Merchant St
22ND Floor
Honolulu, HI 96813-4306
Mailing address
7012 Hawaii Kai Dr
#602
Honolulu, HI 96825-3112
Phone (808) 396-3505
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 939 | HI | MD | Clinical Psychologist |
Networks
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215968078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7012 HAWAII KAI DR",
"address_2": "#602",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968253112",
"telephone_number": "808-396-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MERCHANT ST",
"address_2": "22ND FLOOR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134306",
"telephone_number": "808-535-7619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "PHUONG THUY",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY 939",
"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 Jul 8, 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.