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PSYCHOLOGICAL SERVICE CENTER LLC NPI 1194964353


NPI Information

NPI: 1194964353
Provider Name: PSYCHOLOGICAL SERVICE CENTER, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1135 MAKAWAO AVE
MAKAWAO, HI
ZIP 96768
Phone: (808) 280-9457
Get Directions

PSYCHOLOGICAL SERVICE CENTER, LLC is a clinical psychologist in Makawao, HI. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PSYCHOLOGICAL SERVICE CENTER, LLC NPI is 1194964353. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1135 MAKAWAO AVE
MAKAWAO, HI
ZIP 96768-403
Phone: (808) 280-9457
Fax: (808) 572-0311

The provider's authorized official is Daniel J Lane .
The authorized official title is Chief Psychologist and has the following contact phone number (808) 280-9457.

The enumeration date for this NPI number is 2/11/2009 and was last updated on 2/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalPSYHAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A0258473OTHERHAWAIIHMSA
2548195324OTHERHAWAIIUNIVERSITY HEALTH ALLIANCE
357950000-1OTHERHAWAIIALOHA CARE QUEST
457950002MEDICAIDHAWAII
5101482MEDICARE PINHAWAII
6=========OTHERHAWAIIHMAA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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