Individual provider Active NPI

Kiran Syed, PSY.D.

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1285074286
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1591 Issued in HI
Practice address
935 Makahiki Way
Honolulu, HI 96826-2896
Phone
(808) 922-4787
NPI assigned
Jul 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY1591 HI
Clinical Psychologist 103TC0700X PSY1591 HI Primary

Addresses

Primary practice location

935 Makahiki Way
Honolulu, HI 96826-2896

Mailing address

6600 Kalanianaole Hwy Ste 225
Honolulu, HI 96825-1281
Phone (808) 394-2800

Other practice location 1

932 Ward Ave Ste 600
Honolulu, HI 96814-2193
Phone (808) 725-2067

Other practice location 2

2400 Moorpark Ave Ste 300
San Jose, CA 95128-2680
Phone (832) 452-5770

Other practice location 3

6600 Kalanianaole Hwy Ste 225
Honolulu, HI 96825-1281
Phone (808) 394-2800

Other practice location 4

6600 Kalanianaole Hwy Ste 225
Honolulu, HI 96825-1281
Phone (808) 394-2800

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

State licenses

LicenseStateTypeSpecialty
PSY1591HIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kiran.syed.1@28621.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1285074286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 KALANIANAOLE HWY STE 225",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251281",
            "telephone_number": "808-394-2800",
            "fax_number": "808-394-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MAKAHIKI WAY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262896",
            "telephone_number": "808-922-4787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 Ward Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968142193",
            "country_code": "US",
            "telephone_number": "808-725-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Moorpark Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951282680",
            "country_code": "US",
            "telephone_number": "832-452-5770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 Kalanianaole Hwy Ste 225",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968251281",
            "country_code": "US",
            "telephone_number": "808-394-2800",
            "fax_number": "808-394-2826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 Kalanianaole Hwy Ste 225",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968251281",
            "country_code": "US",
            "telephone_number": "808-394-2800",
            "fax_number": "808-394-2826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYED",
        "first_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY1591",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY1591",
            "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 Jan 25, 2019; 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.