PACIFIC PSYCHOLOGY SERVICES CENTER, LLC (NPI# 1376991471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376991471 |
| Entity Type | Organization |
| Organization Name | PACIFIC PSYCHOLOGY SERVICES CENTER, LLC |
| Practice Address |
1441 Kapiolani Blvd Suite 621 Honolulu HI 96814-4402 |
| Practice Telephone | 8082943595 |
| Practice Fax Number | 8662708635 |
| Mailing Telephone | 8082943595 |
| Mailing Fax Number | 8662708635 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-12-20 |
| Authorized Official Name | DR. COLIN BEVERIDGE DENNEY (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 8082943595 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PSY 697 | HI | Ambulatory Health Care Facilities |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
PSY 697 | HI | Ambulatory Health Care Facilities |
| Street Address |
1441 KAPIOLANI BLVD SUITE 621 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870666 | Samuel Chung-hang Lo | Ophthalmology | 1441 Kapiolani Blvd, Ste 418, Honolulu, HI 96814-4400 | 2005-06-08 |
| 1700385606 | Anthony Poon | Dentist | 1441 Kapiolani Blvd, Suite 720, Ala Moana Bldg, Honolulu, HI 96814 | 2018-02-06 |
| 1386177996 | Amy Harvey | Pharmacist | 1441 Kapiolani Blvd, Suite 2000, Honolulu, HI 96814-4402 | 2017-04-10 |
| 1164965505 | Lucas Paul Kawika Morgan | Psychologist | 1441 Kapiolani Blvd, Suite 1802, Honolulu, HI 96814-4402 | 2016-12-01 |
| 1013371491 | Chie Nishimura | Nurse Practitioner | 1441 Kapiolani Blvd, Suite 2000, Honolulu, HI 96814-4402 | 2016-04-11 |
| 1902264120 | Chiara Bonvini | Physical Therapist | 1441 Kapiolani Blvd, Suite 1113, Honolulu, HI 96814-4402 | 2016-02-02 |
| 1407228695 | Dr. Brigette F Kuhn Inc | Podiatrist | 1441 Kapiolani Blvd, Suite 1111, Honolulu, HI 96814-4402 | 2015-10-27 |
| 1811363385 | Julia Fagan | Social Worker | 1441 Kapiolani Blvd, Suite 1600, Honolulu, HI 96814-4402 | 2015-08-19 |
| 1336515592 | Oral Surgery Hawaii LLP | Dentist | 1441 Kapiolani Blvd, Suite 1720, Honolulu, HI 96814-4402 | 2015-08-11 |
| 1033592860 | Natalie Chien | Dentist | 1441 Kapiolani Blvd, Suite 1505, Honolulu, HI 96814-4402 | 2015-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932583978 | Rong Rong Enterprise L.L.C. | Clinic/Center | 377 Keahole Street, E211-d, Honolulu, HI 96825-0868 | 2015-07-18 |
| 1427510858 | Okupu LLC | Clinic/Center | 1221 Kapiolani Blvd Ste 248, Honolulu, HI 96814-3506 | 2019-04-04 |
| 1245758549 | Josephine P. Horita, D.o. LLC | Clinic/Center | 4211 Waialae Ave Ste 208, Honolulu, HI 96816-5312 | 2017-09-07 |
| 1306361241 | Kahala Clinic Intensive Treatment Program | Clinic/Center | 4211 Waialae Ave Ste 208, Honolulu, HI 96816-5312 | 2017-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043859200 | Ka Hoku Kai Counseling Center, LLC | Clinic/Center | 166 Kamehameha Ave Ste 1, Hilo, HI 96720-2857 | 2020-01-05 |
| 1184139156 | Rising Behavioral Health Consulting, LLC | Clinic/Center | 41-038 Wailea St Ste C, Waimanalo, HI 96795-1671 | 2017-12-12 |
| 1043745532 | Elemental Guidance LLC | Clinic/Center | 260 Kamehameha Ave, Hilo, HI 96720-2859 | 2017-04-22 |
| 1841650082 | Big Island Teen Counseling Center LLC | Clinic/Center | 224 Kamehameha Ave, Suite 206, Hilo, HI 96720-2860 | 2016-03-01 |
| 1649464355 | Bearden Psychological Services LLC | Clinic/Center | 101 Aupuni St, Suite 1014 A-2, Hilo, HI 96720-4246 | 2007-09-06 |
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| 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.