NPIMap

Organization Active NPI

Robyn Takeshita Debary PSYD LLC

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1912295312
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 1264 Issued in HI
Legal business name
ROBYN TAKESHITA DEBARY PSYD LLC
Practice address
1360 S Beretania St
Suite 218
Honolulu, HI 96814-1520
Phone
(808) 783-3387
Fax
(866) 592-3149
NPI assigned
Jul 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Robyn Takeshita Debary, PSYD
Title
Psychologist
Phone
(808) 664-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY 1264 HI Primary

Addresses

Primary practice location

1360 S Beretania St
Suite 218
Honolulu, HI 96814-1520

Mailing address

PO Box 970809
Waipahu, HI 96797-0809
Phone (808) 664-1104

National Provider Directory

National Provider Directory

Locations

1360 S Beretania St
Ste 218
Honolulu, HI 96814
Phone (808) 223-2474

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": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1912295312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970809",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970809",
            "telephone_number": "808-664-1104",
            "fax_number": "866-592-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S BERETANIA ST",
            "address_2": "SUITE 218",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141520",
            "telephone_number": "808-783-3387",
            "fax_number": "866-592-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBYN TAKESHITA DEBARY PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "TAKESHITA DEBARY",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-664-1104",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY 1264",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 19, 2011; 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.