JULIE YURIE TAKISHIMA-LACASA


Address: 850 W Hind Dr Ste 202, Honolulu, HI 96821-1845
Phone: 8084272139

JULIE YURIE TAKISHIMA-LACASA (NPI# 1376085050) 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) 1376085050
Entity Type Individual
Full Name JULIE YURIE TAKISHIMA-LACASA
Credential PH.D.
Practice Address 850 W Hind Dr Ste 202
Honolulu
HI 96821-1845
Mailing Address 819 Kainoa Pl
Honolulu
HI 96821-1737
Practice Telephone 8084272139
Practice Fax Number 8083538010
Mailing Telephone 8082717748
Enumeration Date 2016-11-10
Last Update Date 2020-05-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY1629 HI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CAQH 13911190 01
HI HMAA 13911190 01
HI 810235 05
HI UHA U073078 01
HI HMSA 00B0374781 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
75-5751 Kuakini Hwy, Suite 203, Kailua Kona, HI 967401752 8083263897 8083299370

Office Location

Street Address 850 W HIND DR STE 202
City HONOLULU
State HI
Zip Code 96821-1845

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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
1033592274 Gary Martin Farkas Psychologist C/o Melissa Villalon 1350 S. King Street, Honolulu, HI 96814 2015-07-07
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Competitor

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City HONOLULU
Zip Code 96821

Improve Information

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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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