Active NPI
Leilani Kathleen Ahina-Dawson, PSYD
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1497852529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 894
- Practice address
- 1164 Bishop St Ste 1611
Honolulu, HI 96813-2816 - Phone
- (808) 261-7792
- Fax
- (808) 792-0034
- NPI assigned
- Sep 20, 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 894 | HI | Primary |
Addresses
Primary practice location
1164 Bishop St Ste 1611
Honolulu, HI 96813-2816
Mailing address
1164 Bishop St Ste 1611
Honolulu, HI 96813-2816
Phone (808) 261-7792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568644 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 894 | HI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1497852529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1164 BISHOP ST STE 1611",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132816",
"telephone_number": "808-261-7792",
"fax_number": "808-792-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1164 BISHOP ST STE 1611",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132816",
"telephone_number": "808-261-7792",
"fax_number": "808-792-0034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHINA-DAWSON",
"first_name": "LEILANI",
"middle_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY 894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "568644",
"state": "HI"
}
],
"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 Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.