Organization Active NPI

Clinical Psychology Services, LLC

  • Clinical Psychologist
  • Ewa Beach, HI
National Provider Identifier
1437624756
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLINICAL PSYCHOLOGY SERVICES, LLC
Practice address
91-3575 Kauluakoko St
1108
Ewa Beach, HI 96706-5856
Phone
(808) 294-0495
Fax
(808) 439-6869
NPI assigned
Oct 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Dr. Shawna Lynn Ledward, PSYDNPI 1356380810
Title
Psychologist / Owner
Phone
(808) 294-0495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

91-3575 Kauluakoko St
1108
Ewa Beach, HI 96706-5856

Mailing address

94-229 Waipahu Depot St Ste 400
Waipahu, HI 96797-3034
Phone (808) 294-0495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181218003624 HI Part B Supplier - Clinic/Group Practice 6507101649 Receives reassigned benefits from 1 practitioner
Practice locations: Ewa Beach, HI; Kapolei, HI

National Provider Directory

National Provider Directory

Locations

94-229 Waipahu Depot St
Ste 400
Waipahu, HI 96797
Phone (808) 294-0495

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1437624756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 400",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973034",
            "telephone_number": "808-294-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-3575 KAULUAKOKO ST",
            "address_2": "1108",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967065856",
            "telephone_number": "808-294-0495",
            "fax_number": "808-439-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL PSYCHOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-13",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "LEDWARD",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PSYCHOLOGIST / OWNER",
        "authorized_official_telephone_number": "808-294-0495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.