Active NPI
Carlyn A Tamura, PHD
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1740375161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY786
- Practice address
- 1600 Kapiolani Boulevard
Suite 1323
Honolulu, HI 96814 - Phone
- (808) 942-9733
- Fax
- (808) 942-9734
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY786 | HI | Primary |
Addresses
Primary practice location
1600 Kapiolani Boulevard
Suite 1323
Honolulu, HI 96814
Mailing address
820 Mililani Street
702A
Honolulu, HI 96813
Phone (808) 523-9363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0239160 | Other | HI | HMSA PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041124000935 | HI | Practitioner - Clinical Psychologist | 9335104769 | Practice locations: Honolulu, HI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
615 Piikoi St
Suite 1603
Honolulu, HI 96814-3142
Phone (808) 596-8778
615 Piikoi St
Suite 1603
Honolulu, HI 96814-3146
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY786 | HI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740375161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 MILILANI STREET",
"address_2": "702A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-523-9363",
"fax_number": "808-523-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 KAPIOLANI BOULEVARD",
"address_2": "SUITE 1323",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-942-9733",
"fax_number": "808-942-9734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMURA",
"first_name": "CARLYN",
"middle_name": "A",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA PROVIDER NUMBER",
"identifier": "0239160",
"state": "HI"
}
],
"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 Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.