NPIMap

Organization Active NPI

The Catalyst Group, LLC

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1497042162
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 1056 Issued in HI
Legal business name
THE CATALYST GROUP, LLC
Practice address
3615 Harding Ave
Suite 509
Honolulu, HI 96816-3735
Phone
(808) 739-1992
Fax
(808) 739-1995
NPI assigned
Jul 1, 2011
Last updated
Jul 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Dr. Richard J Kim, PH.D.NPI 1982013595
Title
President
Phone
(808) 739-1992

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: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY 1056 HI Primary

Addresses

Primary practice location

3615 Harding Ave
Suite 509
Honolulu, HI 96816-3735

Mailing address

3615 Harding Ave
Suite 509
Honolulu, HI 96816-3735
Phone (808) 739-1992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140828000760 HI Part B Supplier - Clinic/Group Practice 3577781863 Receives reassigned benefits from 8 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

3615 Harding Ave
Ste 509
Honolulu, HI 96816
Phone (808) 551-6360

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1497042162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 HARDING AVE",
            "address_2": "SUITE 509",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163735",
            "telephone_number": "808-739-1992",
            "fax_number": "808-739-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HARDING AVE",
            "address_2": "SUITE 509",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163735",
            "telephone_number": "808-739-1992",
            "fax_number": "808-739-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CATALYST GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-739-1992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY 1056",
            "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 Jul 1, 2011; 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.