MEDICARE: MICHELLE E. JAMES, PSY.D., LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1336921543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELLE E. JAMES, PSY.D., LLC

Provider Business Mailing Address
First Line	:	PO BOX 37226
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96837-0226
Country	:	US
Telephone Number	:	808-670-8244
Fax Number	:	844-380-2992

Provider Business Practice Location Address
First Line	:	1188 BISHOP STREET
Second Line	:	SUITE 803A
City	:	HONOLULU
State	:	HI
Zip	:	96813-3303
Country	:	US
Telephone Number	:	808-670-8244
Fax Number	:	844-380-2992

Authorized Official
Title or Position	:	MANAGING EMPLOYEE SUPERVISING AGENT
Name	:	DR. MICHELLE E. JAMES
Credential	:	PSY.D.
Telephone Number	:	808-670-8244

Provider Enumeration Date	:	10/23/2023
Last Update Date	:	10/23/2023

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