Individual provider Active NPI

Suzette Teruko Tokuda, PSY.D.

  • Clinical Psychologist
  • Aiea, HI
National Provider Identifier
1891884912
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-767 Issued in HI
Practice address
98-211 Pali Momi St
Suite 606
Aiea, HI 96701-4301
Phone
(808) 358-3583
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-767 HI Primary

Addresses

Primary practice location

98-211 Pali Momi St
Suite 606
Aiea, HI 96701-4301

Mailing address

98-211 Pali Momi St
Suite 606
Aiea, HI 96701-4301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220304002072 HI Practitioner - Clinical Psychologist 3870987993 Practice locations: Aiea, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

98 -211 Pali Momi St
Suite 600
Aiea, HI 96701-4337
Phone (808) 358-3583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891884912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST",
            "address_2": "SUITE 606",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST",
            "address_2": "SUITE 606",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014301",
            "telephone_number": "808-358-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKUDA",
        "first_name": "SUZETTE",
        "middle_name": "TERUKO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.