Active NPI
Yevin Alan Roh, MD (AS OF JUNE 2018)
- Psychiatry Physician
- Kailua, HI
National Provider Identifier
1700373974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101267478
- Practice address
- MCBH Branch Health Clinic
6905 Harris Ave,
Kailua, HI 96734 - Phone
- (808) 257-3365
- NPI assigned
- Apr 13, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101267478 | VA | Primary |
Addresses
Primary practice location
MCBH Branch Health Clinic
6905 Harris Ave,
Kailua, HI 96734
Mailing address
MCBH Branch Health Clinic
6905 Harris Ave
Kailua, HI 96734
Other practice location 1
Naval Health Clinic Hawaii
480 Central Avenue
pearl harbor, HI 96860
Phone (888) 683-2778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101267478 | VA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692316800000",
"number": "1700373974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MCBH BRANCH HEALTH CLINIC",
"address_2": "6905 HARRIS AVE",
"city": "KAILUA",
"state": "HI",
"postal_code": "96734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MCBH BRANCH HEALTH CLINIC",
"address_2": "6905 HARRIS AVE,",
"city": "KAILUA",
"state": "HI",
"postal_code": "96734",
"telephone_number": "808-257-3365"
}
],
"practiceLocations": [
{
"address_1": "Naval Health Clinic Hawaii",
"address_2": "480 Central Avenue",
"address_purpose": "LOCATION",
"city": "pearl harbor",
"state": "HI",
"postal_code": "96860",
"country_code": "US",
"telephone_number": "888-683-2778",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROH",
"first_name": "YEVIN",
"middle_name": "ALAN",
"credential": "MD (AS OF JUNE 2018)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-13",
"last_updated": "2023-08-18",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101267478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.