| Advanced Psychiatric Therapeutics | |
|
1164 Bishop St Ste 1611 Honolulu HI 96813-2816 | |
| (808) 261-7792 | |
| (808) 792-0034 |
| Full Name | Advanced Psychiatric Therapeutics |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1164 Bishop St Ste 1611, Honolulu, Hawaii |
| Authorized Official Name and Position | Jeremy D Roberts (PRESIDENT) |
| Authorized Official Contact | 8082617792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychiatric Therapeutics 1164 Bishop St Ste 1611 Honolulu HI 96813-2816 Ph: (808) 261-7792 | Advanced Psychiatric Therapeutics 1164 Bishop St Ste 1611 Honolulu HI 96813-2816 Ph: (808) 261-7792 |
| NPI Number | 1285920595 |
|---|---|
| Provider Enumeration Date | 06/24/2011 |
| Last Update Date | 09/26/2019 |
| Medicare PECOS PAC ID | 0042478414 |
|---|---|
| Medicare Enrollment ID | O20120215000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285920595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 15632 (Hawaii) | Primary |
| Provider Name | John C Wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982789004 PECOS PAC ID: 1153339510 Enrollment ID: I20060327000201 |
| Provider Name | Lauren K Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982640512 PECOS PAC ID: 5890776132 Enrollment ID: I20081204000592 |
| Provider Name | Jeremy D Roberts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598958969 PECOS PAC ID: 5294897633 Enrollment ID: I20100823000813 |
| Provider Name | Olaf K Gitter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225181332 PECOS PAC ID: 1658539762 Enrollment ID: I20120221000607 |
| Provider Name | Renee R Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487943486 PECOS PAC ID: 9931350204 Enrollment ID: I20131113001331 |
| Provider Name | Adam M Roller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194143537 PECOS PAC ID: 1951520709 Enrollment ID: I20140910000934 |
| Provider Name | Dean A Fraser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164714515 PECOS PAC ID: 9234448333 Enrollment ID: I20151012000488 |
| Provider Name | Bracken Wayne Gott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053767004 PECOS PAC ID: 6103106430 Enrollment ID: I20161202001688 |
| Provider Name | Daniel Lev |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265587190 PECOS PAC ID: 5294982062 Enrollment ID: I20161205001657 |
| Provider Name | Sherri Ann Kaahanui |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255706081 PECOS PAC ID: 4183904923 Enrollment ID: I20161213001012 |
| Provider Name | Daniel P Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952789471 PECOS PAC ID: 6002143278 Enrollment ID: I20190823000658 |
| Provider Name | Erik M Shipley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689029027 PECOS PAC ID: 0244572220 Enrollment ID: I20200903001024 |
| Provider Name | Daniel Olson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700232022 PECOS PAC ID: 8628496387 Enrollment ID: I20200911000650 |
| Provider Name | Jacob Lee |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1790282259 PECOS PAC ID: 9032460464 Enrollment ID: I20240106000711 |
| Provider Name | Jeremy Richards |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1366648230 PECOS PAC ID: 7113163007 Enrollment ID: I20240430003841 |
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