INTEGRATIVE PSYCHOLOGICAL SERVICES HAWAI'I, LLC


Address: 1029 Kapahulu Ave, Honolulu, HI 96816-1332
Phone: 8088291851

INTEGRATIVE PSYCHOLOGICAL SERVICES HAWAI'I, LLC (NPI# 1932744307) 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) 1932744307
Entity Type Organization
Organization Name INTEGRATIVE PSYCHOLOGICAL SERVICES HAWAI'I, LLC
Practice Address 1029 Kapahulu Ave
Honolulu
HI 96816-1332
Mailing Address Po Box 22611
Honolulu
HI 96823-2611
Practice Telephone 8088291851
Mailing Telephone 8088291851
Enumeration Date 2019-11-08
Last Update Date 2019-11-08
Authorized Official Name DR. RYAN A GILLIA (CLINICAL PSYCHOLOGIST)
Authorized Official Telephone 8088291851
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 1029 KAPAHULU AVE
City HONOLULU
State HI
Zip Code 96816-1332

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NPI Name Taxonomy Address Enumeration
1073563979 David Shu- An Chou Urology 1029 Kapahulu Ave, Suite 306, Honolulu, HI 96816-1332 2006-05-11
1144723933 Priscilla Pabillano Pharmacist 1029 Kapahulu Ave, Honolulu, HI 96816-1332 2018-03-17
1063911550 Gerin Sakagawa Massage Therapist 1029 Kapahulu Ave, Honolulu, HI 96816-1332 2018-02-09
1598264087 Jason Mendes Physical Therapy Assistant 1029 Kapahulu Ave, Honolulu, HI 96816-1332 2018-02-09
1861934713 Pacific Physical Therapy Physical Therapist 1029 Kapahulu Ave, Suite 401, Honolulu, HI 96816-1332 2016-11-09
1215329594 Longs Drug Stores California LLC Durable Medical Equipment & Medical Supplies 1029 Kapahulu Ave, Ste 303, Honolulu, HI 96816-1332 2015-02-24
1346654001 Hulu Makua LLC Respite Care 1029 Kapahulu Ave, Ste 408, Honolulu, HI 96816-1332 2014-06-19
1285977850 Gesik Physical Therapy LLC Clinic/Center 1029 Kapahulu Ave, Suite 401, Honolulu, HI 96816-1332 2013-04-02
1710237730 Adele R Tomoyasu-oumi Social Worker 1029 Kapahulu Ave, Suite #403, Honolulu, HI 96816-1332 2012-09-17
1770857062 Lisa Hagiwara Pharmacist 1029 Kapahulu Ave, #303, Honolulu, HI 96816-1332 2012-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598370439 Marina Nogues Nurse Practitioner 3901b Maunahilu Pl, Honolulu, HI 96816 2020-09-08
1184272007 Gwen Mikasa Speech-Language Pathologist Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 2019-09-04
1467009290 Abigail Hobbs Occupational Therapist 475 22nd Ave, Building 302, Rm. 101, Oss, Honolulu, HI 96816 2019-08-26
1588210587 Mona Ann Hiyoto Akina Speech-Language Pathologist 475 2nd Ave., Room 127, Honolulu, HI 96816 2019-08-15
1356996599 Karen Amanda Kama Speech-Language Pathologist Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 2019-08-05
1043864630 Brittni Holt Speech-Language Pathologist 475 22nd Ave Building 302 Room 101, Honoluu, HI 96816 2019-07-31
1376197962 Mallory Register Speech-Language Pathologist 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 2019-07-31
1588144935 Mihoko Yacavone Dietitian, Registered 833 15th Ave, Honolulu, HI 96816 2018-08-15
1760976013 Orthopaedic Specialists Hawaii LLC Orthopaedic Surgery 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 2018-06-20
1790207389 Richard Todd Robbins Jr. Behavior Technician 200 N. Vineyard Blvd. Suite A-600, Honolulu, HI 96816 2017-07-14
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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
1376085050 Julie Yurie Takishima-lacasa Psychologist 850 W Hind Dr Ste 202, Honolulu, HI 96821-1845 2016-11-10
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Competitor

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City HONOLULU
Zip Code 96816

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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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