Individual provider Active NPI

Evelyn Harumi Yanagida, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Honolulu, HI
National Provider Identifier
1396775573
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
207 Issued in HI
Practice address
1833 Kalakaua Ave
Suite 800
Honolulu, HI 96815-1512
Phone
(808) 947-9269
Fax
(808) 951-9282
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 207 HI Primary

Addresses

Primary practice location

1833 Kalakaua Ave
Suite 800
Honolulu, HI 96815-1512

Mailing address

1 Keahole Place
#1504
Honolulu, HI 96825-3421
Phone (808) 947-9269

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 Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Services LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396775573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KEAHOLE PLACE",
            "address_2": "#1504",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253421",
            "telephone_number": "808-947-9269",
            "fax_number": "808-951-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 KALAKAUA AVE",
            "address_2": "SUITE 800",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151512",
            "telephone_number": "808-947-9269",
            "fax_number": "808-951-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANAGIDA",
        "first_name": "EVELYN",
        "middle_name": "HARUMI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "HI",
            "license": "207",
            "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 Jul 8, 2007; 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.