Organization Active NPI

Child Development Center of Hawaii, LLC

  • Clinical Child & Adolescent Psychologist
  • Honolulu, HI
National Provider Identifier
1275794315
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY 697 Issued in HI
Legal business name
CHILD DEVELOPMENT CENTER OF HAWAII, LLC
Practice address
4211 Waialae Ave
Suite 507
Honolulu, HI 96816-5306
Phone
(808) 737-4300
Fax
(808) 737-4302
NPI assigned
Jun 20, 2008
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Colin Beveridge Denney, PH.D.
Title
Director and Managing Member
Phone
(808) 737-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PSY 697 HI Primary

Addresses

Primary practice location

4211 Waialae Ave
Suite 507
Honolulu, HI 96816-5306

Mailing address

4211 Waialae Ave
Suite 507
Honolulu, HI 96816-5306
Phone (808) 737-4300

National Provider Directory

National Provider Directory

Locations

4211 Waialae Ave
Ste 507
Honolulu, HI 96816
Phone (808) 732-0880

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1275794315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE",
            "address_2": "SUITE 507",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165306",
            "telephone_number": "808-737-4300",
            "fax_number": "808-737-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE",
            "address_2": "SUITE 507",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165306",
            "telephone_number": "808-737-4300",
            "fax_number": "808-737-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD DEVELOPMENT CENTER OF HAWAII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "DENNEY",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "BEVERIDGE",
        "authorized_official_title_or_position": "DIRECTOR AND MANAGING MEMBER",
        "authorized_official_telephone_number": "808-737-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "HI",
            "license": "PSY 697",
            "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 Jun 20, 2008; 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.