Organization Active NPI

Psychological Evaluation Center of North America (Pecna)

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1770355398
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
PSYCHOLOGICAL EVALUATION CENTER OF NORTH AMERICA (PECNA)
Doing business as
Psychological Evaluation Center of North America (PECNA)
Practice address
1003 Bishop Street
Suite 2700 PMB #368
Honolulu, HI 96813-9262
Phone
(949) 949-1001
NPI assigned
Oct 26, 2023
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Irada Wattanavitukul, PH.D., LMHCNPI 1972022259
Title
Clinical Director
Phone
(949) 949-0002

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1003 Bishop Street
Suite 2700 PMB #368
Honolulu, HI 96813-9262

Mailing address

34821 Camino Capistrano
Capistrano Beach, CA 92624-1722
Phone (949) 949-0002

Other names 1

  • Psychological Evaluation Center of North America (PECNA) Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1770355398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34821 CAMINO CAPISTRANO",
            "city": "CAPISTRANO BEACH",
            "state": "CA",
            "postal_code": "926241722",
            "telephone_number": "949-949-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BISHOP STREET",
            "address_2": "SUITE 2700 PMB #368",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968139262",
            "telephone_number": "949-949-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL EVALUATION CENTER OF NORTH AMERICA (PECNA)",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "WATTANAVITUKUL",
        "authorized_official_first_name": "IRADA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "949-949-0002",
        "authorized_official_credential": "PH.D., LMHC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Evaluation Center of North America (PECNA)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 26, 2023; 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.