Elizabeth Keolani Taitano, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ELIZABETH KEOLANI TAITANO, PH.D., LLC

Practice address

40 Aulike St
Suite 411
Kailua, HI 96734-2758

Phone

(808) 341-4328

Fax

(877) 348-8227

NPI assigned

May 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Keolani Taitano, PH.D.NPI 1972934099

Title

Owner

Phone

(808) 341-4328

Specialties & licenses 1

Addresses

Other names 1

• Windward Behavioral Health Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Keolani Taitano, PH.D., LLC

  • Clinical Psychologist
  • Kailua, HI
  • NPI 1972934099
  Medicare reassignment NPD Authorized official
• Rachel E Whipple, LCSW

  • Clinical Social Worker
  • Kailua, HI
  • NPI 1164770954

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1851703607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 884",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967340884",
            "telephone_number": "808-341-4328",
            "fax_number": "877-348-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST",
            "address_2": "SUITE 411",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342758",
            "telephone_number": "808-341-4328",
            "fax_number": "877-348-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH KEOLANI TAITANO, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "TAITANO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "KEOLANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-341-4328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windward Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Kailua, HI
• Providers in Kailua, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.