Organization Active NPI

Nicole Aurellano, PSYD, LLC

  • Health Psychologist
  • Kapolei, HI
National Provider Identifier
1700413051
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
Legal business name
NICOLE AURELLANO, PSYD, LLC
Practice address
91-1010 Shangrila St Ste 307
Kapolei, HI 96707-2176
Phone
(808) 348-1553
NPI assigned
Mar 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Dr. Nicole M.R. Aurellano, PSYDNPI 1326440116
Title
Licensed Clinical Psychologist
Phone
(808) 348-1553

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
Health PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0004X Primary

Addresses

Primary practice location

91-1010 Shangrila St Ste 307
Kapolei, HI 96707-2176

Mailing address

92-1295 Hookeha St
Kapolei, HI 96707-1572
Phone (808) 348-1553

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1700413051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-1295 HOOKEHA ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071572",
            "telephone_number": "808-348-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1010 SHANGRILA ST STE 307",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072176",
            "telephone_number": "808-348-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE AURELLANO, PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "AURELLANO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M.R.",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-348-1553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.