NPIMap

Organization Active NPI

Susan Mikami MD LLC

  • Child & Adolescent Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1760612329
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
13933 Issued in HI
Legal business name
SUSAN MIKAMI MD LLC
Practice address
1100 Ward Ave
Suite 810
Honolulu, HI 96814-1600
Phone
(808) 351-1012
NPI assigned
Jul 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Authorized official

Name
Dr. Susan Mikami, M.D.NPI 1194932129
Title
Agent
Phone
(808) 351-1012

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 13933 HI
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 13933 HI
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 13933 HI Primary

Addresses

Primary practice location

1100 Ward Ave
Suite 810
Honolulu, HI 96814-1600

Mailing address

PO Box 10012
Honolulu, HI 96816-0012
Phone (808) 351-1012

National Provider Directory

National Provider Directory

Locations

1100 Ward Ave
Ste 810
Honolulu, HI 96814
Phone (808) 351-1012

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": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1760612329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10012",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968160012",
            "telephone_number": "808-351-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE",
            "address_2": "SUITE 810",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141600",
            "telephone_number": "808-351-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MIKAMI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "MIKAMI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "808-351-1012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "13933",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "13933",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "HI",
            "license": "13933",
            "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 Jul 28, 2009; 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.