Pratibha Shulamit Eastwood, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY390 Issued in HI

Practice address

1016 Kapahulu Ave Ste 265
Honolulu, HI 96816-1318

Phone

(808) 214-9253

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Pratibha Shulamit Eastwood, PHD, Inc.

  • Psychologist
  • Honolulu, HI
  • NPI 1336335918
  Medicare reassignment Authorized official
• Life Master LLC

  • Psychologist
  • Honolulu, HI
  • NPI 1083970545
  NPD
• Conachy & Chang Counseling Services, LLC

  • Professional Counselor
  • Ashland, OR
  • NPI 1346024387
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1770636581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2022",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975030022",
            "telephone_number": "541-234-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 KAPAHULU AVE STE 265",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161318",
            "telephone_number": "808-214-9253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 2022",
            "address_purpose": "LOCATION",
            "city": "White City",
            "state": "OR",
            "postal_code": "975030022",
            "country_code": "US",
            "telephone_number": "541-234-4781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTWOOD",
        "first_name": "PRATIBHA",
        "middle_name": "SHULAMIT",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "99028622496817A001",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00B0056073",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Oahu Medical Center Inc
• East Sultan Early Intervention Program
• East-West Institute for Health & Research LLC
• Easter Seals Hawaii
• Easter Seals Hawaii
• Elvis Eaton
• Kristi F K Ebel, MSW, LCSW
• Ellen Eberhardt
• Rachel Samantha Donahue Ebert, LCSW
• Dawn Tsuki Ebesu, O.T.R.

• Psychologist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.

Verify at the official NPI Registry.