Active NPI
Frederick Duennebier, MD
- Psychiatry Physician
- Honolulu, HI
National Provider Identifier
1366760043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-18117
- Practice address
- 1164 Bishop St Ste 1611
Honolulu, HI 96813-2816 - Phone
- (808) 261-7792
- NPI assigned
- May 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD61085628 | WA | |
| Psychiatry Physician | 2084P0800X | MD-18117 | HI | Primary |
Addresses
Primary practice location
1164 Bishop St Ste 1611
Honolulu, HI 96813-2816
Mailing address
2704 NE 53Rd St
Seattle, WA 98105-3114
Phone (808) 429-3532
Other practice location 1
2704 NE 53rd St
Seattle, WA 98105-3114
Phone (808) 429-3532
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-18117 | HI | MD | Psychiatry Physician |
| MD61085628 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Psychiatric Therapeutics | Single Specialty | Current | Accepting new patients |
Locations
1164 Bishop St
Ste 1611
Honolulu, HI 96813
Phone (808) 261-7792
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": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1366760043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 NE 53RD ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053114",
"telephone_number": "808-429-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1164 BISHOP ST STE 1611",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132816",
"telephone_number": "808-261-7792"
}
],
"practiceLocations": [
{
"address_1": "2704 NE 53rd St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981053114",
"country_code": "US",
"telephone_number": "808-429-3532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUENNEBIER",
"first_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-05",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD61085628",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD-18117",
"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 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.