Organization Active NPI

Amy Wassman PSYD LLC

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1992208086
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-1240 Issued in HI
Legal business name
AMY WASSMAN PSYD LLC
Practice address
1001 Bishop St Ste 2870
Honolulu, HI 96813-3482
Phone
(808) 726-0750
Fax
(707) 948-6036
NPI assigned
Mar 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Dr. Amy KG Wassman, PSYDNPI 1194801951
Title
Owner/Clinical Psychologist
Phone
(808) 726-0750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY-1240 HI Primary

Addresses

Primary practice location

1001 Bishop St Ste 2870
Honolulu, HI 96813-3482

Mailing address

1001 Bishop St Ste 2870
Honolulu, HI 96813-3482
Phone (808) 726-0750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180502001170 HI Part B Supplier - Clinic/Group Practice 8628332400 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1001 Bishop St
Ste 2870
Honolulu, HI 96813
Phone (808) 538-7793

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1992208086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST STE 2870",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133482",
            "telephone_number": "808-726-0750",
            "fax_number": "707-948-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BISHOP ST STE 2870",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133482",
            "telephone_number": "808-726-0750",
            "fax_number": "707-948-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY WASSMAN PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "WASSMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "KG",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-726-0750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-1240",
            "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 Mar 14, 2018; 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.

Verify at the official NPI Registry.