Individual provider Active NPI

Frederick Duennebier, MD

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1366760043
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-18117 Issued in HI
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

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD61085628 WA
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
MD-18117HIMDPsychiatry Physician
MD61085628WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Therapeutics Single Specialty CurrentSince Mar 26, 2023 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.

Verify at the official NPI Registry.