Individual provider Active NPI

Erin Tahauri, PSYD, LCSW

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1699906628
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1412 Issued in HI
Practice address
1451 S King St
Suite 313
Honolulu, HI 96814-2506
Phone
(808) 384-4695
Fax
(888) 393-2539
NPI assigned
Aug 8, 2009
Last updated
Jan 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3582 HI
Clinical Psychologist 103TC0700X 1412 HI Primary

Addresses

Primary practice location

1451 S King St
Suite 313
Honolulu, HI 96814-2506

Mailing address

1451 S King St
Suite 313
Honolulu, HI 96814-2506
Phone (808) 384-4695

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20260401001746 MN Practitioner - Clinical Psychologist 4789713736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3490 Lexington Ave N
Suite 205
Shoreview, MN 55126-8044

7525 Mitchell Rd
Suite 215
Eden Prairie, MN 55344-1957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1249689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1699906628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 S KING ST",
            "address_2": "SUITE 313",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142506",
            "telephone_number": "808-384-4695",
            "fax_number": "888-393-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 S KING ST",
            "address_2": "SUITE 313",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142506",
            "telephone_number": "808-384-4695",
            "fax_number": "888-393-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHAURI",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-08",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3582",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.