Shantha McKinlay

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-1955 Issued in HI

Practice address

1003 Bishop St Ste 380
Honolulu, HI 96813-6409

Phone

(808) 528-1717

NPI assigned

Aug 1, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Christopher Tokeshi MD LLC

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1003707225
  NPD
• Joseph R McKinlay MD LLC

  • Procedural Dermatology Physician
  • Honolulu, HI
  • NPI 1134238173
  NPD

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1881367183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 BISHOP ST STE 380",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136409",
            "telephone_number": "808-528-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BISHOP ST STE 380",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968136409",
            "telephone_number": "808-528-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLAY",
        "first_name": "SHANTHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-1955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark D. McKenney, MD
• Christine Ann McKenzie, FNP-C
• Thomas Yoji McKeown, PHARM.D.
• Carol L McKim, PHD
• Joseph McKinlay, M.D.
• Shantha Cecelia McKinlay, M.D.
• Benjamin McKinney
• Lauren McKinney, MA
• Melissa A McKinney, D.O.
• Christina Nicole McKinnon, PHARM.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.