Healthcare Provider Details

I. General information

NPI: 1376671180
Provider Name (Legal Business Name): ANN S. YABUSAKI PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 N NIMITZ HWY RM A259
HONOLULU HI
96817-5783
US

IV. Provider business mailing address

47-670 HALEMANU ST
KANEOHE HI
96744-5512
US

V. Phone/Fax

Practice location:
  • Phone: 808-545-3228
  • Fax: 808-545-2686
Mailing address:
  • Phone: 808-239-4114
  • Fax: 808-239-4114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY14443
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT022558
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT-87
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: