Active NPI
Jesse Hutchison, PHD
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1982227971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1808
- Practice address
- 1164 Bishop St Ste 929
Honolulu, HI 96813 - Phone
- (808) 977-6210
- NPI assigned
- May 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1808 | HI | Primary |
Addresses
Primary practice location
1164 Bishop St Ste 929
Honolulu, HI 96813
Mailing address
1164 Bishop St Ste 929
Honolulu, HI 96813-2882
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1808 | HI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Fully Counseling LLC | Clinical | Current | Accepting new patients |
Locations
1164 Bishop St
Ste 929
Honolulu, HI 96813
Phone (808) 391-3514
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.
-
- Clinical Psychologist
- Honolulu, HI
- NPI 1023632965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1982227971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1164 BISHOP ST STE 929",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1164 BISHOP ST STE 929",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-977-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHISON",
"first_name": "JESSE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-25",
"last_updated": "2020-10-19",
"certification_date": "2020-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY1808",
"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 Oct 19, 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.