Individual provider Active NPI

Heide P. Kiyota, PH.D.

  • Psychologist
  • Wahiawa, HI
National Provider Identifier
1821041484
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 349 Issued in HI
Practice address
319A N Cane St
Wahiawa, HI 96786-2109
Phone
(808) 621-1820
Fax
(808) 621-0540
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 349 HI Primary

Addresses

Primary practice location

319A N Cane St
Wahiawa, HI 96786-2109

Mailing address

319A N Cane St
Wahiawa, HI 96786-2109
Phone (808) 621-1820

Other identifiers 1

IdentifierTypeStateIssuer
024298-02MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 349HIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821041484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319A N CANE ST",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862109",
            "telephone_number": "808-621-1820",
            "fax_number": "808-621-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319A N CANE ST",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862109",
            "telephone_number": "808-621-1820",
            "fax_number": "808-621-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIYOTA",
        "first_name": "HEIDE",
        "middle_name": "P.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY 349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024298-02",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.