Organization Active NPI

Nancy Graber Canubida LLC

  • Psychologist
  • Kapolei, HI
National Provider Identifier
1790165595
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1155 Issued in HI
Legal business name
NANCY GRABER CANUBIDA LLC
Practice address
92-1206 Makamai PL
Kapolei, HI 96707-1508
Phone
(808) 292-7470
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Nancy Graber, PSY.D, LCSW
Title
President
Phone
(808) 292-7470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1155 HI Primary

Addresses

Primary practice location

92-1206 Makamai PL
Kapolei, HI 96707-1508

Mailing address

92-1206 Makamai PL
Kapolei, HI 96707-1508
Phone (808) 292-7470

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1790165595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-1206 MAKAMAI PL",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071508",
            "telephone_number": "808-292-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-1206 MAKAMAI PL",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071508",
            "telephone_number": "808-292-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY GRABER CANUBIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "GRABER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-292-7470",
        "authorized_official_credential": "PSY.D, LCSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "HI",
            "license": "1155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.