Jennifer Larsen-Evans, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY2123 Issued in HI

Practice address

2193 Ahaku PL
Honolulu, HI 96821-1012

Phone

(818) 220-1539

NPI assigned

Jul 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Jennifer Larsen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1467765289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2193 AHAKU PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211012",
            "telephone_number": "818-220-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2193 AHAKU PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211012",
            "telephone_number": "818-220-1539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915043537",
            "country_code": "US",
            "telephone_number": "818-220-1539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSEN-EVANS",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27179",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY2123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMH",
            "identifier": "225400000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LARSEN",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Nalani Jicha Lariego, RN
• Christopher Angel Larrinaga, ARNP
• Larry F. Sine, PH.D., Inc.
• Erean A. Larry-Fiakpuyi, LCSW
• Kyira Larry, MS, CGC
• Kristin A. Larsen, MD
• Kelsey Anne Larsh
• Derek Richard Larson, MD
• Keith C. Larson, DDS
• Laser Eye Center of Hawaii LLC

• Clinical Psychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.