NPIMap

Organization Active NPI

Pacific Neuropsychology Services

  • Clinical Neuropsychologist
  • Honolulu, HI
National Provider Identifier
1225318454
Registry record updated Apr 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1157 Issued in HI
Legal business name
PACIFIC NEUROPSYCHOLOGY SERVICES
Practice address
438 Hobron LN Ste 409
Honolulu, HI 96815-1229
Phone
(808) 599-7676
Fax
(808) 599-7900
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2014

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

Authorized official

Name
Dr. Laila SpinaNPI 1033298203
Title
Neuropsychologist
Phone
(808) 599-7676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 1157 HI Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 1157 HI
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1157 HI
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X 1157 HI

Addresses

Primary practice location

438 Hobron LN Ste 409
Honolulu, HI 96815-1229

Mailing address

PO Box 3805
Honolulu, HI 96812-3805
Phone (808) 599-7676

National Provider Directory

National Provider Directory

Locations

1188 Bishop St
Ste 3509
Honolulu, HI 96813
Phone (808) 599-7676

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396656000000",
    "number": "1225318454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3805",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968123805",
            "telephone_number": "808-599-7676",
            "fax_number": "808-599-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HOBRON LN STE 409",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151229",
            "telephone_number": "808-599-7676",
            "fax_number": "808-599-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NEUROPSYCHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2014-04-05",
        "status": "A",
        "authorized_official_last_name": "SPINA",
        "authorized_official_first_name": "LAILA",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "808-599-7676",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "HI",
            "license": "1157",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "HI",
            "license": "1157",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1157",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "HI",
            "license": "1157",
            "primary": false
        }
    ],
    "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 Apr 5, 2014; 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.