Kelly H. Takasawa, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1215 Issued in HI

Practice address

1221 Kapiolani Blvd
Ste 211
Honolulu, HI 96814-3506

Phone

(808) 538-7793

Fax

(808) 538-7799

NPI assigned

Nov 2, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kelly H Takasawa, PSYD LLC

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1871001636
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1508166877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD",
            "address_2": "STE 211",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143506",
            "telephone_number": "808-538-7793",
            "fax_number": "808-538-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD",
            "address_2": "STE 211",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143506",
            "telephone_number": "808-538-7793",
            "fax_number": "808-538-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKASAWA",
        "first_name": "KELLY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1215",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "HI",
            "license": "1215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Takanishi
• Reid K Takano, A.T.,C.
• Ross T. Takara, PHARM.D.
• Shirley Takara
• Chika Takarada, M.D.
• Brandon Osamu Takase, M.D.
• Marissa Keiko Takase, MD
• Andrew Takata, MS, ATC
• Caralyn Takata
• Jayson H Takata, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.

Verify at the official NPI Registry.