Cori Takesue, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-1861 Issued in HI

Practice address

333 Sixth Street
Lanai City, HI 96763

Phone

(808) 565-6919

Fax

(808) 565-9111

NPI assigned

Jul 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lanai Community Health CenterGroup PAC ID 5395828925, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lanai Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lanai City, HI
  • NPI 1679754097
  Medicare reassignment Care Compare group NPD
• John J Cogan MD Inc

  • Interventional Cardiology Physician
  • Honolulu, HI
  • NPI 1396898557
  NPD (past)
• Lanai Community Health Center

  • Community/Retail Pharmacy
  • Lanai City, HI
  • NPI 1205413101
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1942409156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631261",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "967631261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SIXTH STREET",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "96763",
            "telephone_number": "808-565-6919",
            "fax_number": "808-565-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKESUE",
        "first_name": "CORI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-1861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Stansel, BCBA, LBA
• State of Hawaii Department of Health (Maui Community Mental Health Center - Lanai Clinic)
• Straub Clinic & Hospital
• Straub Clinic & Hospital
• Straub Clinic & Hospital (Lanai Clinic Pharmacy)
• Allyna Teppang, BSN RN
• Aaron Tomatani
• Elizabeth R. K. Tomoso, OTR
• Xenia Pasco Perez Urpanil
• Venture Physical Therapy LLC

• Psychologist in Lanai City, HI
• Providers in Lanai City, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.