PEARLRIDGE PSYCHOLOGICAL SERVICES LLC NPI 1548692940

NPI Information

NPI: 1548692940
Provider Name: PEARLRIDGE PSYCHOLOGICAL SERVICES, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
98-084 KAMEHAMEHA HWY
SUITE 306
AIEA, HI
ZIP 96701
Phone: (808) 484-1190
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PEARLRIDGE PSYCHOLOGICAL SERVICES, LLC is an adult mental health clinic center in Aiea, HI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PEARLRIDGE PSYCHOLOGICAL SERVICES, LLC NPI is 1548692940. The provider is registered as an organization entity type.

The provider's business location address is:

98-084 KAMEHAMEHA HWY
SUITE 306
AIEA, HI
ZIP 96701-160
Phone: (808) 484-1190
Fax: (808) 683-0643

The provider's authorized official is Herbert M Gupton .
The authorized official title is Owner and has the following contact phone number (808) 484-1190.

The enumeration date for this NPI number is 8/7/2013 and was last updated on 8/7/2013.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	W40186597-01	HAWAII	Yes

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: 4/28/2024

NPI Synchronization or Removal

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