Roswitha J Shanahan, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY707 Issued in HI

Practice address

821A Cedar St
Honolulu, HI 96814-2330

Phone

(808) 277-7040

NPI assigned

Apr 7, 2007

Last updated

Dec 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shanahan Family & Ind Psych Services Inc

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1205016730
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1548383433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821A CEDAR ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142330",
            "telephone_number": "808-277-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821A CEDAR ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142330",
            "telephone_number": "808-277-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "ROSWITHA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49945102",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaina M. Sonobe MD, Inc
• Shalom Hospice of Hawaii LLC
• Korin Sayuri Laialoha Sham, LCSW
• Nazo Shamal, PSYD, LCSW
• Shanahan Family & Ind Psych Services Inc
• Kristine Layugan Shaner, M.D.
• Tianfu Shang
• Surina C Shankar, MSW, LSW
• Sheri Sloggett Shanks, PSY.D.
• Flannery Adair Shannon, DNP, APRN-RX, FNP-BC

• 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 Dec 12, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.