Sherrie M. Takushi, Psy.D., Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-712 Issued in HI

Legal business name

SHERRIE M. TAKUSHI, PSY.D., INC.

Practice address

98-211 Pali Momi St Ste 600
Aiea, HI 96701-4337

Phone

(808) 484-2181

Fax

(808) 484-2189

NPI assigned

Nov 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sherrie M. Takushi-Isara, PSY.D.

Title

President

Phone

(808) 551-8579

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sherrie M. Takushi, Psy.D. Former legal business name

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1598092959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967011146",
            "telephone_number": "808-484-2181",
            "fax_number": "808-484-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST STE 600",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014337",
            "telephone_number": "808-484-2181",
            "fax_number": "808-484-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRIE M. TAKUSHI, PSY.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "TAKUSHI-ISARA",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-551-8579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICE ASSOCIATION (BLUE CROSS/BLUE SHIELD)",
            "identifier": "00T0228555",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5161802",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherrie M. Takushi, Psy.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.