Individual provider Active NPI

Brian B Combs, PH D

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1760412175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY485 Issued in HI
Practice address
226 N Kuakini St
Honolulu, HI 96817-2421
Phone
(808) 544-3366
Fax
(808) 566-3859
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY485 HI Primary

Addresses

Primary practice location

226 N Kuakini St
Honolulu, HI 96817-2421

Mailing address

1188 Bishop St
Suite 3007
Honolulu, HI 96814-3312
Phone (808) 599-1636

Other identifiers 2

IdentifierTypeStateIssuer
00E0005941OtherHIHAWAII MEDICAL SVC ASSN
00636802MedicaidHI

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY485HIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kari Vasey Psy D Inc Psychologist Past Accepting new patients
Douglas L Smith MD PastSince Nov 26, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760412175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST",
            "address_2": "SUITE 3007",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143312",
            "telephone_number": "808-599-1636",
            "fax_number": "808-599-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172421",
            "telephone_number": "808-544-3366",
            "fax_number": "808-566-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "BRIAN",
        "middle_name": "B",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SVC ASSN",
            "identifier": "00E0005941",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00636802",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.