Individual provider Active NPI

Adrienne Kadooka, PSYD, LMHC

  • Clinical Psychologist
  • Kaneohe, HI
National Provider Identifier
1952836538
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-2219 Issued in HI
Practice address
45-270 William Henry Rd Ste 207
Kaneohe, HI 96744-5808
Phone
(808) 201-4208
NPI assigned
Apr 20, 2017
Last updated
Nov 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC-892 HI
Clinical Psychologist 103TC0700X PSY-2219 HI Primary
Health & Wellness Coach 171400000X NU

Addresses

Primary practice location

45-270 William Henry Rd Ste 207
Kaneohe, HI 96744-5808

Mailing address

PO Box 1221
Aiea, HI 96701-1221
Phone (808) 201-4208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MHC-892HIMDMental Health Counselor
PSY-2219HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adaptive Living LLC Clinical CurrentSince Sep 10, 2023 Accepting new patients

Locations

45-270 William Henry Rd
Ste 207
Kaneohe, HI 96744
Phone (808) 201-4208

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1952836538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1221",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967011221",
            "telephone_number": "808-201-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-270 WILLIAM HENRY RD STE 207",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445808",
            "telephone_number": "808-201-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADOOKA",
        "first_name": "ADRIENNE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "MHC-892",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "PSY-2219",
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.