Organization Active NPI

Three Principles Hawaii, LLC

  • Clinical Psychologist
  • Kailua, HI
National Provider Identifier
1891889440
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY595 Issued in HI
Legal business name
THREE PRINCIPLES HAWAII, LLC
Practice address
970 N Kalaheo Avenue
Suite A312
Kailua, HI 96734
Phone
(808) 375-8747
Fax
(808) 254-6786
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Rita J Shuford, PH.D.NPI 1457312860
Title
Owner
Phone
(808) 523-9363

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY595 HI Primary

Addresses

Primary practice location

970 N Kalaheo Avenue
Suite A312
Kailua, HI 96734

Mailing address

820 Mililani Street
Suite 702a
Honolulu, HI 96813
Phone (808) 523-9363

Other identifiers 1

IdentifierTypeStateIssuer
00B0210233OtherHIHMSA PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

970 N Kalaheo Ave
Ste A312
Kailua, HI 96734
Phone (808) 375-8747

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1891889440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MILILANI STREET",
            "address_2": "SUITE 702A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-523-9363",
            "fax_number": "808-523-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVENUE",
            "address_2": "SUITE A312",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "96734",
            "telephone_number": "808-375-8747",
            "fax_number": "808-254-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE PRINCIPLES HAWAII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "SHUFORD",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-523-9363",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NUMBER",
            "identifier": "00B0210233",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.