Organization Active NPI

Pratibha Shulamit Eastwood, PHD, Inc.

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1336335918
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PRATIBHA SHULAMIT EASTWOOD, PHD, INC.
Practice address
1016 Kapahulu Ave Ste 265
Honolulu, HI 96816-1318
Phone
(808) 214-9253
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Dr. Pratibha Shulamit Eastwood, PHDNPI 1770636581
Title
President / Ceo / Psychologist
Phone
(808) 214-9253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1016 Kapahulu Ave Ste 265
Honolulu, HI 96816-1318

Mailing address

PO Box 2022
White City, OR 97503-0022
Phone (808) 214-9253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071113000052 HI Part B Supplier - Clinic/Group Practice 5597853309 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1336335918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2022",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975030022",
            "telephone_number": "808-214-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 KAPAHULU AVE STE 265",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161318",
            "telephone_number": "808-214-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATIBHA SHULAMIT EASTWOOD, PHD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "EASTWOOD",
        "authorized_official_first_name": "PRATIBHA",
        "authorized_official_middle_name": "SHULAMIT",
        "authorized_official_title_or_position": "PRESIDENT / CEO / PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-214-9253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "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 Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.