Organization Active NPI

Heike Kholooci, PSYD LLC

  • Clinical Psychologist
  • Kihei, HI
National Provider Identifier
1679449466
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HEIKE KHOLOOCI, PSYD LLC
Practice address
1325 S Kihei Rd Ste 221
Kihei, HI 96753-8145
Phone
(808) 830-6550
NPI assigned
Oct 16, 2025
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Heike Kholooci, PSYDNPI 1083942577
Title
Owner
Phone
(808) 830-6550

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
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

1325 S Kihei Rd Ste 221
Kihei, HI 96753-8145

Mailing address

140 Uwapo Rd Apt 36-201
Kihei, HI 96753-7440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260206001996 HI Part B Supplier - Clinic/Group Practice 6406335777 Receives reassigned benefits from 1 practitioner
Practice locations: Kihei, HI

National Provider Directory

National Provider Directory

Locations

1325 S Kihei Rd
Ste 221
Kihei, HI 96753
Phone (808) 830-6550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1679449466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 UWAPO RD APT 36-201",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S KIHEI RD STE 221",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538145",
            "telephone_number": "808-830-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIKE KHOLOOCI, PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "KHOLOOCI",
        "authorized_official_first_name": "HEIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-830-6550",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.