Dr Keith LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DR KEITH LLC

Practice address

1060 Young St Ste 222
Honolulu, HI 96814-1609

Phone

(808) 382-2049

Fax

(808) 745-1799

NPI assigned

Mar 12, 2024

Last updated

Mar 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Don Pedro, PSYDNPI 1861760472

Title

Psychologist

Phone

(808) 382-2049

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Don D Pedro, PSYD

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1861760472
  NPD Authorized official

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1366200446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 MAKALOA ST # 204-212",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143232",
            "telephone_number": "808-382-2049",
            "fax_number": "808-745-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 YOUNG ST STE 222",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141609",
            "telephone_number": "808-382-2049",
            "fax_number": "808-745-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KEITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "PEDRO",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-382-2049",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.