Individual provider Active NPI

Jui Feng Tatekawa-Chen

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1831412253
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1371 Issued in HI
Practice address
2239 N School St
Honolulu, HI 96819-2539
Phone
(808) 791-9400
NPI assigned
Mar 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1371 HI Primary

Addresses

Primary practice location

2239 N School St
Honolulu, HI 96819-2539

Mailing address

2239 N School St
Honolulu, HI 96819-2539

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130201000264 HI Practitioner - Clinical Psychologist 7719131507 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1371HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Tatekawa-Chen, PSYD LLC Clinical CurrentSince Nov 8, 2015 Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services CurrentSince Jan 16, 2013 Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services CurrentSince Jan 16, 2013 Accepting new patients

Locations

98-211 Pali Momi St
Ste 635
Aiea, HI 96701
Phone (808) 561-6899

98-211 Pali Momi St
Ste 635
Aiea, HI 96701
Phone (808) 561-6899

2239 N School St
Honolulu, HI 96819
Phone (808) 791-9400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1831412253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 N SCHOOL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 N SCHOOL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192539",
            "telephone_number": "808-791-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATEKAWA-CHEN",
        "first_name": "JUI FENG",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-12",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.