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1962882340 NPI number — PSYCHOLOGY HAWAII LLC

NPI Number: 1962882340
Health Care Provider/Practitioner: PSYCHOLOGY HAWAII LLC

Information about “1962882340” NPI (PSYCHOLOGY HAWAII LLC) exists in 1962882340 in HTML format HTML  |  1962882340 in plain Text format TXT  |  1962882340 in PDF (Portable Document Format) PDF  |  1962882340 in an XML format XML  formats.

NPI Number : 1962882340 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962882340",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PSYCHOLOGY HAWAII LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "928 NUUANU AVE # LLS2",
    "SecondLineMailingAddress": "VALDEN MEDICAL",
    "MailingAddressCityName": "HONOLULU",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96817-5190",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-538-2800",
    "MailingAddressFaxNumber": "808-536-2024",
    "FirstLinePracticeLocationAddress": "928 NUUANU AVE # LL2",
    "SecondLinePracticeLocationAddress": "VALDEN MEDICAL",
    "PracticeLocationAddressCityName": "HONOLULU",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96817-5190",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-538-2800",
    "PracticeLocationAddressFaxNumber": "808-536-2024",
    "EnumerationDate": "06/01/2015",
    "LastUpdateDate": "06/27/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HOOLANI",
    "AuthorizedOfficialFirstName": "KELLY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OFFICE MANAGER/VALDEN MEDICAL",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "808-538-2800",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103TC0700X",
        "TaxonomyName": "Clinical Psychologist",
        "LicenseNumber": "PSY-1418",
        "LicenseNumberStateCode": "HI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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