Organization Active NPI

L. Maile Labasan, PH.D., Inc.

  • Psychologist
  • Honolulu, HI
National Provider Identifier
1992980056
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY759 Issued in HI
Legal business name
L. MAILE LABASAN, PH.D., INC.
Practice address
1600 Kapiolani Blvd
Suite 1306
Honolulu, HI 96814-3801
Phone
(808) 949-7444
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Dr. Lynette Maile Labasan, PH.D.NPI 1588608277
Title
Clinical Psychologist
Phone
(808) 949-7444

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 PSY759 HI Primary

Addresses

Primary practice location

1600 Kapiolani Blvd
Suite 1306
Honolulu, HI 96814-3801

Mailing address

1600 Kapiolani Blvd
Suite 1306
Honolulu, HI 96814-3801
Phone (808) 949-7444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150812006841 HI Part B Supplier - Clinic/Group Practice 9436464088 Receives reassigned benefits from 1 practitioner
Practice locations: Kailua, HI

National Provider Directory

National Provider Directory

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": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1992980056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD",
            "address_2": "SUITE 1306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143801",
            "telephone_number": "808-949-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD",
            "address_2": "SUITE 1306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143801",
            "telephone_number": "808-949-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. MAILE LABASAN, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "LABASAN",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_middle_name": "MAILE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "808-949-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY759",
            "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 Jan 8, 2008; 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.