Derick Chae, MD

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

AQ 170213 Issued in HI

Practice address

1356 Lusitana St
Department of Psychiatry 4TH Floor
Honolulu, HI 96813-2421

Phone

(808) 586-2900

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1871709451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 NUUANU AVE LOWR LEVEL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 LUSITANA ST",
            "address_2": "DEPARTMENT OF PSYCHIATRY 4TH FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132421",
            "telephone_number": "808-586-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAE",
        "first_name": "DERICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "HI",
            "license": "AQ 170213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Y Cha-Loo, D.D.S.
• Nancy Moonhee Cha, PH.D.
• Shreya Chadda, D.O.
• Rachel Alene Chadwell, MS
• Ashley Chae, RN
• Michael E. Chaffin, MD
• Chris Wai Chong Chai
• Kimberly Chai
• Pimpipat Chaiarsa, MASSAGE THERAPIST
• Llasmin Chaine, LSW

• Psychosomatic Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Psychosomatic Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.