Kathryn Lynn Kasenchak, PSY.D.
Individual provider Active NPI Clinical Psychologist · Hilo, HI
NPI 1376809459 · NPPES record last updated Apr 3, 2012
Key facts
- NPI
- 1376809459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1279 (HI)
- Practice address
- 15 Kanoa St
Hilo, HI 96720-2426 - Phone
- (808) 345-3058
- NPI assigned
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1279 | HI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Quest Corporation | Past | Accepting new patients | |
| Pacific Quest | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1279 | HI | Yes |
Addresses
Primary practice location
15 Kanoa St
Hilo, HI 96720-2426
Mailing address
15 Kanoa St
Hilo, HI 96720-2426
Phone (808) 345-3058
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.