Individual provider Active NPI

Garyn Ken Tsuru, PHD

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1831742428
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-1781 Issued in HI
Practice address
1832 Lime St Apt a
Honolulu, HI 96826-3854
Phone
(808) 394-2800
Fax
(562) 245-6419
NPI assigned
Jul 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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-1781 HI Primary

Addresses

Primary practice location

1832 Lime St Apt a
Honolulu, HI 96826-3854

Mailing address

1832 Lime St Apt a
Honolulu, HI 96826-3854

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
I20220719003416 HI Practitioner - Clinical Psychologist 7214318419 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Honolulu, HI 96826
Phone (808) 394-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY-1781HIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1831742428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 LIME ST APT A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 LIME ST APT A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263854",
            "telephone_number": "808-394-2800",
            "fax_number": "562-245-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSURU",
        "first_name": "GARYN",
        "middle_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-1781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.