NPIMap

Organization Active NPI

Psychiatric Clinic Inc

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1922357375
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD 13434 Issued in HI
Legal business name
PSYCHIATRIC CLINIC INC
Practice address
928 Nuuanu Ave
Suite LL2
Honolulu, HI 96817-5190
Phone
(808) 538-2800
Fax
(808) 536-2024
NPI assigned
Aug 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Lili Kelly, MDNPI 1548488570
Title
Owner
Phone
(808) 664-1104

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD 13434 HI Primary

Addresses

Primary practice location

928 Nuuanu Ave
Suite LL2
Honolulu, HI 96817-5190

Mailing address

PO Box 37862
Honolulu, HI 96837-0862
Phone (808) 664-1104

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1922357375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37862",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968370862",
            "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": "928 NUUANU AVE",
            "address_2": "SUITE LL2",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175190",
            "telephone_number": "808-538-2800",
            "fax_number": "808-536-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LILI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-664-1104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD 13434",
            "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 Aug 30, 2012; 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.