Active NPI
Nicole Nakamura, Psy.D., LLC
- Adult Mental Health Clinic/Center
- Honolulu, HI
National Provider Identifier
1487089959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 1142
- Legal business name
- NICOLE NAKAMURA, PSY.D., LLC
- Practice address
- 1833 Kalakaua Ave Ste 908
Honolulu, HI 96815-1528 - Phone
- (808) 277-8797
- NPI assigned
- Sep 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicole Nakamura, PSY.D.
- Title
- Owner
- Phone
- (808) 277-8797
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 1142 | HI | Primary |
Addresses
Primary practice location
1833 Kalakaua Ave Ste 908
Honolulu, HI 96815-1528
Mailing address
3511 Maunaloa Ave
Honolulu, HI 96816-2254
Phone (808) 277-8797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3660 Waialae Ave
Ste 208
Honolulu, HI 96816
Phone (808) 256-6518
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Honolulu, HI
- NPI 1235382219
-
- Counseling Psychologist
- Honolulu, HI
- NPI 1023153889
-
- Clinical Psychologist
- Honolulu, HI
- NPI 1861531782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378166400000",
"number": "1487089959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 MAUNALOA AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968162254",
"telephone_number": "808-277-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1833 KALAKAUA AVE STE 908",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968151528",
"telephone_number": "808-277-8797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE NAKAMURA, PSY.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-03",
"last_updated": "2013-09-03",
"status": "A",
"authorized_official_last_name": "NAKAMURA",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-277-8797",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "HI",
"license": "1142",
"primary": true
}
],
"identifiers": [],
"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 Sep 3, 2013; 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.