Organization Active NPI

Joanne Bautista-Torres PSYD. LLC

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1801150560
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-1183 Issued in HI
Legal business name
JOANNE BAUTISTA-TORRES PSYD. LLC
Practice address
119 Merchant St
Suite 605
Honolulu, HI 96813-4452
Phone
(808) 646-1322
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Authorized official

Name
Joanne Bautista-Torres, PSYD
Title
Owner
Phone
(808) 646-1322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY-1183 HI Primary

Addresses

Primary practice location

119 Merchant St
Suite 605
Honolulu, HI 96813-4452

Mailing address

7192 Kalanianaole Hwy
Suite A143A Pmb159
Honolulu, HI 96825-1800
Phone (808) 646-1322

National Provider Directory

National Provider Directory

Locations

7192 Kalanianaole Hwy
Ste A143A
Honolulu, HI 96825
Phone (808) 247-1294

119 Merchant St
Ste 605
Honolulu, HI 96813
Phone (808) 374-8657

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1801150560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7192 KALANIANAOLE HWY",
            "address_2": "SUITE A143A PMB159",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251800",
            "telephone_number": "808-646-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MERCHANT ST",
            "address_2": "SUITE 605",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134452",
            "telephone_number": "808-646-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE BAUTISTA-TORRES PSYD. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA-TORRES",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-646-1322",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1183",
            "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 Jun 27, 2012; 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.