Organization Active NPI

Derick Chae, MD

  • Child & Adolescent Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1497414106
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
DERICK CHAE, MD
Practice address
928 Nuuanu Ave Lowr Level
Honolulu, HI 96817-5193
Phone
(808) 538-2800
NPI assigned
Dec 9, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Natalie Ramos
Title
Credentialing
Phone
(808) 431-3210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X NU Primary

Addresses

Primary practice location

928 Nuuanu Ave Lowr Level
Honolulu, HI 96817-5193

Mailing address

928 Nuuanu Ave Lowr Level
Honolulu, HI 96817-5193
Phone (808) 538-2800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1497414106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 NUUANU AVE LOWR LEVEL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175193",
            "telephone_number": "808-538-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 NUUANU AVE LOWR LEVEL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175193",
            "telephone_number": "808-538-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERICK CHAE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "808-431-3210"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "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 Dec 14, 2021; 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.