Tracy M Taniguchi Psy D LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1320 Issued in HI

Legal business name

TRACY M TANIGUCHI PSY D LLC

Practice address

688 Kinoole St
Suite # 206
Hilo, HI 96720-3877

Phone

(808) 227-7682

Fax

(877) 795-7918

NPI assigned

Nov 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tracy M.T. Yamasaki, PSY.D.

Title

Clinical Psychologist

Phone

(808) 227-7682

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tracy M.T. Watanabe, Psy.D.,LLC Former legal business name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

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

• Tracy Miyoko Taniguchi Yamasaki, PSY.D.

  • Clinical Psychologist
  • Hilo, HI
  • NPI 1013275205

  Clinical, HI

  Medicare reassignment NPD

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1457724031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 KINOOLE ST",
            "address_2": "SUITE # 206",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203877",
            "telephone_number": "808-227-7682",
            "fax_number": "877-795-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 KINOOLE ST",
            "address_2": "SUITE # 206",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203877",
            "telephone_number": "808-227-7682",
            "fax_number": "877-795-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY M TANIGUCHI PSY D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "YAMASAKI",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M.T.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-227-7682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1013275205",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "877-795-7918",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax number",
            "address_1": "688 Kinoole St",
            "address_2": "Suite # 206",
            "city": "Hilo",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967203877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tracy M.T. Watanabe, Psy.D.,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Tracy M.T. Watanabe, Psy.D.,LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kaian Moani Torres
• Total Health Connection LLC
• Joanne Totten, LCSW, DCSW
• Cynthia Lynn Totty-Hefley, MS
• Nickelina Townsend
• Michalann Rae Kauilani Trainer
• Andra Trammell
• Laurel Trammell
• William Trammell
• Lillian My-Linh Tran, RPH

• All providers in Hilo, HI
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.