Hawaii Psychological Services, Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY809 Issued in HI

Legal business name

HAWAII PSYCHOLOGICAL SERVICES, INC

Practice address

1001 Kamokila Blvd
Suite 262
Kapolei, HI 96707-2014

Phone

(808) 484-1122

Fax

(808) 484-1129

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert E. Jackson, PH.D.

Title

President

Phone

(808) 294-3493

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany C Lee, PSY.D.

  • Clinical Psychologist
  • Kaneohe, HI
  • NPI 1093062648
  NPD
• Mark Scott Verschell, PSY.D.

  • Clinical Psychologist
  • Kailua, HI
  • NPI 1790776664
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1497930655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "SUITE 262",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-484-1122",
            "fax_number": "808-484-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "SUITE 262",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-484-1122",
            "fax_number": "808-484-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-294-3493",
        "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": "PSY809",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "DOS1489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hawaii Endodontics Kapolei LLC
• Hawaii Holistic Mental Health Care Center LLC
• Hawaii Medride LLC
• Sharae Hawelu, LMFT
• William T Hawkins Jr., MSN, CEN, RN
• Shelby J Haygood
• Healthy Smiles Family Dental, Inc.
• Kimberly Mei Lin Heddlesten

• Clinical Psychologist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.