David Tateyama

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

98-1238 Kaahumanu St Ste 403
Pearl City, HI 96782-3292

Phone

(808) 448-1996

Fax

(808) 486-1997

NPI assigned

Sep 29, 2008

Last updated

Feb 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saku Healing LLC

  • Mental Health Counselor
  • Pearl City, HI
  • NPI 1609562321
  Medicare reassignment NPD
• Benchmark Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Pearl City, HI
  • NPI 1346476942
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1477703205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1238 KAAHUMANU ST STE 403",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823292",
            "telephone_number": "808-448-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1238 KAAHUMANU ST STE 403",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823292",
            "telephone_number": "808-448-1996",
            "fax_number": "808-486-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATEYAMA",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan Tanaka, OD
• Tammy A. Tanaka, LMT
• Tammy Wai-Sum Tang, RN
• Lance M. Taniguchi, M.D.
• Elsie Kimiko Tarumoto, M.S., CCC-SLP
• Vicki Leigh Taylor, L.M.H.C.
• The Chiropractic Studio
• The Resilient Life Organzation
• The Resilient Life Organzation
• The Social Work Collective, LLC

• Mental Health Counselor in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.