Pacific Psychology Services Center, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

PSY 697 Issued in HI

Legal business name

PACIFIC PSYCHOLOGY SERVICES CENTER, LLC

Practice address

1441 Kapiolani Blvd
Suite 621
Honolulu, HI 96814-4402

Phone

(808) 294-3595

Fax

(866) 270-8635

NPI assigned

May 31, 2016

Last updated

Dec 20, 2016By 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

Dr. Colin Beveridge Denney, PH.D.NPI 1457493462

Title

Clinical Psychologist

Phone

(808) 294-3595

Specialties & licenses 2

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.

• Colin Beveridge Denney, PH.D.

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1457493462
  NPD (past) Authorized official

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1376991471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "SUITE 621",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144402",
            "telephone_number": "808-294-3595",
            "fax_number": "866-270-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "SUITE 621",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144402",
            "telephone_number": "808-294-3595",
            "fax_number": "866-270-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PSYCHOLOGY SERVICES CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "DENNEY",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "BEVERIDGE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-294-3595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "HI",
            "license": "PSY 697",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "HI",
            "license": "PSY 697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pacific Psychiatric Services, LLC
• Pacific Radiation Oncology LLC
• Pacific Radiology Group Inc
• Pacific Rim Play Therapy LLC
• Pacific Shores Psychology LLC
• Pacific Sports & Rehabilitation Center, LLC

• Adolescent and Children Mental Health Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Adolescent and Children Mental Health Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.