Yurie I Van Dermark, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-2060-0 Issued in HI

Practice address

1050 Queen St Ste 100
Honolulu, HI 96814-4130

Phone

(808) 692-3628

NPI assigned

Aug 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acceptance and Healing LLC

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1801574959
  NPD Authorized official
• Kaiser Foundation Health Plan Inc

  • Radiology Clinic/Center
  • Honolulu, HI
  • NPI 1063515567
  NPD
• Kaiser Foundation Health Plan Inc

  • Clinical Medical Laboratory
  • Kailua Kona, HI
  • NPI 1679588057
  NPD
• Kaiser Foundation Health Plan, Inc

  • Rural Health Clinic/Center
  • Kahuku, HI
  • NPI 1245773936
  NPD
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1689792533
  NPD (past)
• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1952328700

  Clinical

  NPD (past)

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1720503576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 QUEEN ST STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144130",
            "telephone_number": "808-692-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 QUEEN ST STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144130",
            "telephone_number": "808-692-3628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Kalakaua Ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968263766",
            "country_code": "US",
            "telephone_number": "808-758-5174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DERMARK",
        "first_name": "YURIE",
        "middle_name": "I",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-12",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-2060-0",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Value Drug LTD
• Value Drug LTD.
• Value Drug LTD.
• Jaco J Van Delden, P.T.
• Melanie Kim Van Der Tuin, LMFT
• Jay Van Fleet, PH.D.
• Jacqueline Carol Van Loon, LPC LICENSED PROFESS
• Madison Van Peursem
• Julianna Nikulla Van Poele, REGISTERED NURSE
• Nicholas Hung Van, MD

• 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 Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.