Organization Active NPI

Shari Au PHD LLC

  • Clinical Psychologist
  • Honolulu, HI
National Provider Identifier
1881106763
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1132 Issued in HI
Legal business name
SHARI AU PHD LLC
Practice address
1188 Bishop St Ste 2904
Honolulu, HI 96813-3312
Phone
(801) 682-3865
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Dr. Shari Au, PHDNPI 1861622425
Title
Owner
Phone
(808) 398-4398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TA0700X 1132 HI
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X 1132 HI
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1132 HI Primary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 1132 HI
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X 1132 HI
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X 1132 HI

Addresses

Primary practice location

1188 Bishop St Ste 2904
Honolulu, HI 96813-3312

Mailing address

1702 Kewalo St Apt 403
Honolulu, HI 96822-3096
Phone (808) 398-4398

Other identifiers 2

IdentifierTypeStateIssuer
00D0288672OtherHIHAWAII MEDICAL SERVICE ASSOCIATION
250700MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171115001382 HI Part B Supplier - Clinic/Group Practice 5799041398 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1188 Bishop St
Ste 2904
Honolulu, HI 96813
Phone (801) 682-3865

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1881106763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 KEWALO ST APT 403",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223096",
            "telephone_number": "808-398-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 2904",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133312",
            "telephone_number": "801-682-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI AU PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "AU",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-398-4398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "HI",
            "license": "1132",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "HI",
            "license": "1132",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1132",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "HI",
            "license": "1132",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "HI",
            "license": "1132",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "HI",
            "license": "1132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICE ASSOCIATION",
            "identifier": "00D0288672",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250700",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.