Organization Active NPI

Shelly a Tomishima PHD LLC

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1942355896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
747 Issued in HI
Legal business name
SHELLY A TOMISHIMA PHD LLC
Practice address
1441 Kapiolani Blvd Ste 906
Honolulu, HI 96814-4405
Phone
(808) 943-0200
Fax
(808) 943-8833
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shelly Tomishima, PHDNPI 1114911450
Title
Owner
Phone
(808) 943-0200

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 747 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 906
Honolulu, HI 96814-4405

Mailing address

PO Box 25370
Honolulu, HI 96825-0370
Phone (808) 536-0314

National Provider Directory

National Provider Directory

Locations

1441 Kapiolani Blvd
Ste 906
Honolulu, HI 96814
Phone (808) 943-0200

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942355896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25370",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250370",
            "telephone_number": "808-536-0314",
            "fax_number": "808-536-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 906",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144405",
            "telephone_number": "808-943-0200",
            "fax_number": "808-943-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY A TOMISHIMA PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOMISHIMA",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-943-0200",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "HI",
            "license": "747",
            "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 22, 2020; 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.