Larissa Awapuhi Cordeira, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-1713 Issued in HI

Practice address

66-590 Kamehameha Hwy Ste 2G
Haleiwa, HI 96712-1484

Phone

(808) 721-7481

Fax

(808) 888-0550

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Donna G. Goodwin PSYD LLC

  • Community/Behavioral Health Agency
  • Haleiwa, HI
  • NPI 1700352341
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1225521909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-546 KUPUOHI ST APT 202",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975316",
            "telephone_number": "808-721-7481",
            "fax_number": "808-688-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-590 KAMEHAMEHA HWY STE 2G",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121484",
            "telephone_number": "808-721-7481",
            "fax_number": "808-888-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDEIRA",
        "first_name": "LARISSA",
        "middle_name": "AWAPUHI",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Gianna Carls
• Charles Dean Tantog Jr
• Clinical Pharmacy Consultants
• Julie Nicole Ray Cohen, LMFT, CSAC
• Paula Suzanne Cole, L.AC.
• Brian Cork, LAC
• Rio Cospy
• Destiny Cremer, L.AC.
• Jaimie M Cunningham, DPT
• Leland Henry Dao, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.