KELLY H TAKASAWA, PSYD LLC


Address: 1221 Kapiolani Blvd Ste 211, Honolulu, HI 96814-3506
Phone: 8085387793

KELLY H TAKASAWA, PSYD LLC (NPI# 1871001636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871001636
Entity Type Organization
Organization Name KELLY H TAKASAWA, PSYD LLC
Practice Address 1221 Kapiolani Blvd Ste 211
Honolulu
HI 96814-3506
Practice Telephone 8085387793
Mailing Telephone 8085387793
Mailing Fax Number 8085387799
Enumeration Date 2018-01-15
Last Update Date 2018-01-15
Authorized Official Name KELLY TAKASAWA (CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 8085387793
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TH0004X Psychologist
Specialization: Health
PSY-1215 HI Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
PSY-1215 HI Behavioral Health & Social Service Providers

Office Location

Street Address 1221 KAPIOLANI BLVD STE 211
City HONOLULU
State HI
Zip Code 96814-3506

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992319008 Rachel Huxel Psychologist 1821 Keeaumoku St Apt 201, Honolulu, HI 96822-3005 2020-09-04
1386256626 Gabriela Cretu Cretu Psychologist 3820 Pukalani Pl, Honolulu, HI 96816-3816 2020-08-18
1427513563 Hannah Im Psychologist 377 Keahole St Ste 210, Honolulu, HI 96825-3405 2019-02-03
1265928873 Amy Humphrey Psychologist 615 Piikoi St Ste 1605, Honolulu, HI 96814-3142 2018-07-06
1346750338 Nikita M Hay Psychologist 361 Hobron Ln, Honolulu, HI 96815-1039 2017-10-04
1346765336 Vilmarie Baez Psychologist 1600 Kapiolani Blvd Ste 1340, Honolulu, HI 96814-3806 2017-08-10
1750815114 Alex Bliss Walter Psychologist 1221 Kapiolani Blvd, Penthouse 38, Hawaii Psychology Collective, Honolulu, HI 96814 2017-04-12
1124567151 Apostolis Amaxopoulos Psychologist 1608 Keeaumoku St, Honolulu, HI 96822-4310 2017-02-23
1700323763 Istvan Kacso Psychologist 1415 Victoria St Apt 1103, Honolulu, HI 96822-3542 2017-01-27
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Competitor

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City HONOLULU
Zip Code 96814

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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