Active NPI
Psychology Hawaii LLC
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1962882340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-1418
- Legal business name
- PSYCHOLOGY HAWAII LLC
- Practice address
- 928 Nuuanu Ave # LL2
Valden Medical
Honolulu, HI 96817-5190 - Phone
- (808) 538-2800
- Fax
- (808) 536-2024
- NPI assigned
- Jun 1, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Hoolani
- Title
- Office Manager/Valden Medical
- Phone
- (808) 538-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-1418 | HI | Primary |
Addresses
Primary practice location
928 Nuuanu Ave # LL2
Valden Medical
Honolulu, HI 96817-5190
Mailing address
928 Nuuanu Ave # LLS2
Valden Medical
Honolulu, HI 96817-5190
Phone (808) 538-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
928 Nuuanu Ave
#2
Honolulu, HI 96817
Phone (808) 400-6473
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Honolulu, HI
- NPI 1609900778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466985600000",
"number": "1962882340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 NUUANU AVE # LLS2",
"address_2": "VALDEN MEDICAL",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968175190",
"telephone_number": "808-538-2800",
"fax_number": "808-536-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 NUUANU AVE # LL2",
"address_2": "VALDEN MEDICAL",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968175190",
"telephone_number": "808-538-2800",
"fax_number": "808-536-2024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOLOGY HAWAII LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-01",
"last_updated": "2016-06-27",
"status": "A",
"authorized_official_last_name": "HOOLANI",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OFFICE MANAGER/VALDEN MEDICAL",
"authorized_official_telephone_number": "808-538-2800"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY-1418",
"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 Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.