Active NPI
Sherrie M. Takushi-Isara, PSY.D.
- Clinical Psychologist
- Aiea, HI
National Provider Identifier
1497765879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-712
- Practice address
- 98-211 Pali Momi St
Suite 606
Aiea, HI 96701-4301 - Phone
- (808) 484-2181
- Fax
- (808) 484-2181
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-712 | HI | Primary |
Addresses
Primary practice location
98-211 Pali Momi St
Suite 606
Aiea, HI 96701-4301
Mailing address
PO Box 1146
Aiea, HI 96701-1146
Phone (808) 484-2181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5161802 | Medicaid | HI |
Other names 1
- Dr. Sherrie M. Takushi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
98 -211 Pali Momi St
Suite 600
Aiea, HI 96701-4337
Phone (808) 484-2181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1548215692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1497765879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1146",
"city": "AIEA",
"state": "HI",
"postal_code": "967011146",
"telephone_number": "808-484-2181",
"fax_number": "808-484-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-211 PALI MOMI ST",
"address_2": "SUITE 606",
"city": "AIEA",
"state": "HI",
"postal_code": "967014301",
"telephone_number": "808-484-2181",
"fax_number": "808-484-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKUSHI-ISARA",
"first_name": "SHERRIE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY-712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5161802",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRIE",
"last_name": "TAKUSHI",
"middle_name": "M.",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.