Carol L McKim, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY802 Issued in HI

Practice address

1833 Kalakaua Ave
Ste #503
Honolulu, HI 96815-2162

Phone

(808) 955-7778

Fax

(808) 955-7776

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Nicole Nakamura, Psy.D., LLC

  • Adult Mental Health Clinic/Center
  • Honolulu, HI
  • NPI 1487089959
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861531782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 OLOHANA ST",
            "address_2": "#2501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152162",
            "telephone_number": "808-955-7778",
            "fax_number": "808-955-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 KALAKAUA AVE",
            "address_2": "STE #503",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152162",
            "telephone_number": "808-955-7778",
            "fax_number": "808-955-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIM",
        "first_name": "CAROL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY802",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CP6910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia McKeever, MS
• Kaylee McKenna, PTA
• Mark D. McKenney, MD
• Christine Ann McKenzie, FNP-C
• Thomas Yoji McKeown, PHARM.D.
• Joseph McKinlay, M.D.
• Shantha McKinlay
• Shantha Cecelia McKinlay, M.D.
• Benjamin McKinney
• Lauren McKinney, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.