Active NPI
Kevan Kamisato, PSYD
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1740164276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-1943
- Practice address
- 1700 Lanakila Ave # 106
Honolulu, HI 96817-2115 - Phone
- (808) 832-5609
- NPI assigned
- Aug 5, 2025
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-1943 | HI | Primary |
Addresses
Primary practice location
1700 Lanakila Ave # 106
Honolulu, HI 96817-2115
Mailing address
PO Box 3378
Honolulu, HI 96801-3378
Phone (808) 741-3902
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-1943 | HI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1740164276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3378",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968013378",
"telephone_number": "808-741-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 LANAKILA AVE # 106",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172115",
"telephone_number": "808-832-5609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMISATO",
"first_name": "KEVAN",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-05",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY-1943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.