Individual provider Active NPI

Jason K Yoshino, PSYD

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1316242340
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 1216 Issued in HI
Practice address
Tripler AMC, 1 Jarrett White Rd.
Honolulu, HI 96859
Phone
(808) 433-8887
NPI assigned
Jan 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1216 HI
Clinical Psychologist 103TC0700X PSY 1216 HI Primary

Addresses

Primary practice location

Tripler AMC, 1 Jarrett White Rd.
Honolulu, HI 96859

Mailing address

PO Box 970809
Waipahu, HI 96797-0809
Phone (808) 664-1104

Other practice location 1

1360 S Beretania St Ste 218
Honolulu, HI 96814-1520
Phone (808) 664-1104 ext. 1

Other practice location 2

6710 Hawaii Kai Dr Apt 906
Honolulu, HI 96825-1536
Phone (808) 384-6492

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

LicenseStateTypeSpecialty
PSY 1216HIMDClinical Psychologist
1216HIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason K Yoshino PSYD LLC Past Accepting new patients
Robyn Takeshita Debary PSYD LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1295740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1316242340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970809",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970809",
            "telephone_number": "808-664-1104",
            "fax_number": "866-592-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRIPLER AMC, 1 JARRETT WHITE RD.",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96859",
            "telephone_number": "808-433-8887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 S Beretania St Ste 218",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968141520",
            "country_code": "US",
            "telephone_number": "808-664-1104 x1",
            "fax_number": "866-592-3149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6710 Hawaii Kai Dr Apt 906",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968251536",
            "country_code": "US",
            "telephone_number": "808-384-6492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOSHINO",
        "first_name": "JASON",
        "middle_name": "K",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-23",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1216",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY 1216",
            "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 Mar 13, 2024; 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.