Gerald L Coffee LCSW LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GERALD L COFFEE LCSW LLC

Practice address

1221 Kapiolani Blvd PH 50
Honolulu, HI 96814-3518

Phone

(088) 260-9893

Fax

(808) 748-0433

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Jerry L Coffee, LCSW

Title

Owner

Phone

(808) 382-9185

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1679224265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD PH 50",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143518",
            "telephone_number": "088-260-9893",
            "fax_number": "808-748-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD PH 50",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143518",
            "telephone_number": "088-260-9893",
            "fax_number": "808-748-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD L COFFEE LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "COFFEE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-382-9185",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Vashti George, LMHC
• Katherine George
• Rachel Anne George
• Gerald Adachi, DMD Inc
• Gerald H Watanabe MD LTD
• Gerald N. Matsuyama, O.D., LLC
• Linley Gerald, MD
• Mark S. Gerber, M.D.
• Randall Glenn Gerber
• Camille Gerbyshak, LCSW

• 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 20, 2022; 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.