Individual provider Active NPI

Brittney J Keith, PSYD

  • Clinical Psychologist
  • Kaunakakai, HI
National Provider Identifier
1831865179
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-1922 Issued in HI
Practice address
604 Maunaloa Hwy.
BLDG C
Kaunakakai, HI 96748
Phone
(808) 560-3653
Fax
(808) 560-3385
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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 PSY-1922 HI Primary

Addresses

Primary practice location

604 Maunaloa Hwy.
BLDG C
Kaunakakai, HI 96748

Mailing address

PO Box 130
Kaunakakai, HI 96748-0130
Phone (808) 560-3653

Other practice location 1

832 Kiele St.
Lanai City, HI 96763
Phone (808) 560-3653

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
I20210921003066 HI Practitioner - Clinical Psychologist 1254738057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NA Pu UwaiGroup PAC ID 2769463793, 2 clinicians

Practice addresses (Care Compare)

604 Maunaloa Hwy
Kaunakakai, HI 96748
Phone (808) 560-3653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-1922HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
NA Pu'Uwai PastSince Jun 18, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21516/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brittney.keith@hawaiihie.medicity.net
  • Direct secure messaging: brittney.keith.1@21516.direct.athenahealth.com

Organizations & group practices 2

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1831865179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "967480130",
            "telephone_number": "808-560-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MAUNALOA HWY.",
            "address_2": "BLDG C",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "96748",
            "telephone_number": "808-560-3653",
            "fax_number": "808-560-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "832 Kiele St.",
            "address_purpose": "LOCATION",
            "city": "Lanai City",
            "state": "HI",
            "postal_code": "96763",
            "country_code": "US",
            "telephone_number": "808-560-3653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "BRITTNEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-1922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaunakakai, HI

Sources for this page

Verify at the official NPI Registry.