Individual provider Active NPI

Elizabeth Keolani Taitano, PH.D., LLC

  • Clinical Psychologist
  • Kailua, HI
National Provider Identifier
1972934099
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1435 Issued in HI
Practice address
335 Hahani St Unit 1254
Kailua, HI 96734-7452
Phone
(808) 341-4328
Fax
(877) 348-8227
NPI assigned
Nov 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1435 HI Primary

Addresses

Primary practice location

335 Hahani St Unit 1254
Kailua, HI 96734-7452

Mailing address

335 Hahani St Unit 1254
Kailua, HI 96734-7452
Phone (808) 341-4328

Other identifiers 1

IdentifierTypeStateIssuer
791097MedicaidHI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140728002182 HI Practitioner - Clinical Psychologist 6507082575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

591 Keolu Dr
Apt D
Kailua, HI 96734-3965
Phone (808) 341-4328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1435HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Keolani Taitano, PH.D., LLC Clinical CurrentSince May 28, 2014 Accepting new patients

Locations

354 Uluniu St
Ste 312
Kailua, HI 96734
Phone (808) 341-4328

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1972934099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 HAHANI ST UNIT 1254",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967347452",
            "telephone_number": "808-341-4328",
            "fax_number": "877-348-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 HAHANI ST UNIT 1254",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967347452",
            "telephone_number": "808-341-4328",
            "fax_number": "877-348-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAITANO",
        "first_name": "ELIZABETH",
        "middle_name": "KEOLANI",
        "name_prefix": "Dr.",
        "credential": "PH.D., LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-30",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "791097",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.