Organization Active NPI

Yolanda Amerson, PSYD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Honolulu, HI
National Provider Identifier
1528802972
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
YOLANDA AMERSON, PSYD
Practice address
1188 Bishop St Ste 2512
Honolulu, HI 96813-3310
Phone
(808) 255-2604
Fax
(808) 200-7711
NPI assigned
Jun 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Dr. Yolanda R Amerson, PSYD, LCSWNPI 1780296665
Title
Psychologist, License Clinical SW
Phone
(808) 255-2604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1188 Bishop St Ste 2512
Honolulu, HI 96813-3310

Mailing address

1188 Bishop St Ste 2512
Honolulu, HI 96813-3310
Phone (808) 255-2604

Other names 1

  • Yolanda Amerson, PsyD, LCSW Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241004002605 HI Part B Supplier - Clinic/Group Practice 2769928993 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1528802972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 2512",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133310",
            "telephone_number": "808-255-2604",
            "fax_number": "808-200-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 2512",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133310",
            "telephone_number": "808-255-2604",
            "fax_number": "808-200-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOLANDA AMERSON, PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "AMERSON",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOLOGIST, LICENSE CLINICAL SW",
        "authorized_official_telephone_number": "808-255-2604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yolanda Amerson, PsyD, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.