Organization Active NPI

Julie Y. Takishima-Lacasa, PHD, LLC

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1447988761
Registry record updated Aug 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JULIE Y. TAKISHIMA-LACASA, PHD, LLC
Practice address
850 W Hind Dr Ste 202
Honolulu, HI 96821-1845
Phone
(808) 427-2139
NPI assigned
Aug 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2022

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

Authorized official

Name
Dr. Julie Yurie Takishima-Lacasa, PHDNPI 1376085050
Title
Owner
Phone
(808) 271-7748

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

850 W Hind Dr Ste 202
Honolulu, HI 96821-1845

Mailing address

819 Kainoa PL
Honolulu, HI 96821-1737
Phone (808) 271-7748

Other identifiers 4

IdentifierTypeStateIssuer
13911190OtherHIHAWAII MEDICAL ASSURANCE ASSOCIATION
00C0374789OtherHIHAWAII MEDICAL SERVICE ASSOCIATION ONLINE CARE
00D0374787OtherHIHAWAII MEDICAL SERVICE ASSOCIATION
U073078OtherHIUNIVERSITY HEALTH ALLIANCE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1660348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660348800000",
    "number": "1447988761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 KAINOA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211737",
            "telephone_number": "808-271-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HIND DR STE 202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-427-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE Y. TAKISHIMA-LACASA, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-13",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A",
        "authorized_official_last_name": "TAKISHIMA-LACASA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "YURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-271-7748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL ASSURANCE ASSOCIATION",
            "identifier": "13911190",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICE ASSOCIATION ONLINE CARE",
            "identifier": "00C0374789",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICE ASSOCIATION",
            "identifier": "00D0374787",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH ALLIANCE",
            "identifier": "U073078",
            "state": "HI"
        }
    ],
    "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 Aug 13, 2022; 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.