Geriatric Psychiatry Services of Hawaii LLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

MD14198 Issued in HI

Legal business name

GERIATRIC PSYCHIATRY SERVICES OF HAWAII LLC

Practice address

1296 Kapiolani Blvd Apt 3004
Honolulu, HI 96814-2886

Phone

(808) 285-9271

NPI assigned

Dec 25, 2012

Organization subpart

No

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

Authorized official

Name

Brett LuNPI 1649331760

Title

Manager

Phone

(808) 285-9271

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett Y. Lu, MD PHD

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1649331760
  Medicare reassignment NPD Authorized official
• Sara Haack

  • Psychiatry Physician
  • Ann Arbor, MI
  • NPI 1164798203
  NPD (past)
• Holly Holbrooks-Kuratek, M.D.

  • Psychiatry Physician
  • Seattle, WA
  • NPI 1649546805
  NPD (past)

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

{
    "created_epoch": "1356393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356393600000",
    "number": "1417293200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 KAPIOLANI BLVD APT 3004",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 KAPIOLANI BLVD APT 3004",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142886",
            "telephone_number": "808-285-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC PSYCHIATRY SERVICES OF HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-25",
        "last_updated": "2012-12-25",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-285-9271"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "HI",
            "license": "MD14198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald N. Matsuyama, O.D., LLC
• Linley Gerald, MD
• Mark S. Gerber, M.D.
• Randall Glenn Gerber
• Camille Gerbyshak, LCSW
• Joanne Gerrior
• Leslie J. Gershoff, MD
• Mark Andrew Gerum, MSW, LCSW, MPH
• Gesik Physical Therapy LLC
• Nicole Yukiko Gesik, D.O.

• Geriatric Psychiatry Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Geriatric Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.