Healthcare Provider Details

I. General information

NPI: 1669154035
Provider Name (Legal Business Name): ROXANNE RAMIREZ PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 PATTERSON RD
HONOLULU HI
96819-1522
US

IV. Provider business mailing address

2600 NETHERLAND AVE APT 2403
BRONX NY
10463-1231
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-0320
  • Fax:
Mailing address:
  • Phone: 626-502-3392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number026564
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: