BEARDEN PSYCHOLOGICAL SERVICES LLC NPI 1649464355

NPI Information

NPI: 1649464355
Provider Name: BEARDEN PSYCHOLOGICAL SERVICES LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
101 AUPUNI ST
SUITE 1014 A-2
HILO, HI
ZIP 96720
Phone: (808) 935-2605
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BEARDEN PSYCHOLOGICAL SERVICES LLC is an adult mental health clinic center in Hilo, 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. BEARDEN PSYCHOLOGICAL SERVICES LLC NPI is 1649464355. The provider is registered as an organization entity type.

The provider's business location address is:

101 AUPUNI ST
SUITE 1014 A-2
HILO, HI
ZIP 96720-246
Phone: (808) 935-2605
Fax: (808) 935-2650

The provider's authorized official is Thomas Stennis Bearden .
The authorized official title is President and has the following contact phone number (808) 935-2605.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 12/12/2011.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	PSY 888	HAWAII	No
2	261QM0850X	Clinic/Center	Adult Mental Health	PSY 888	HAWAII	Yes

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
1	EL051A	MEDICARE PIN	HAWAII

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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