Active NPI
Thuyen My Pham
- Behavior Analyst
- Honolulu, HI
National Provider Identifier
1245986983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA-650
- Practice address
- 1390 Miller St
Honolulu, HI 96813-2493 - Phone
- (808) 784-6200
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BA-650 | HI | Primary |
Addresses
Primary practice location
1390 Miller St
Honolulu, HI 96813-2493
Mailing address
1403 Makiki St Apt 803
Honolulu, HI 96814-1353
Phone (808) 203-3203
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA-650 | HI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1245986983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 MAKIKI ST APT 803",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141353",
"telephone_number": "808-203-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 MILLER ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132493",
"telephone_number": "808-784-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "THUYEN",
"middle_name": "MY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "BA-650",
"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 Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.