| Hawaii Clinical Psychology, Llc | |
|
1188 Bishop St Ste 3005 Honolulu HI 96813-3312 | |
| (808) 778-5755 | |
| (866) 278-2435 |
| Full Name | Hawaii Clinical Psychology, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1188 Bishop St Ste 3005, Honolulu, Hawaii |
| Authorized Official Name and Position | Cynthia S J'anthony (PRESIDENT) |
| Authorized Official Contact | 8087785755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawaii Clinical Psychology, Llc 1188 Bishop St Ste 3005 Honolulu HI 96813-3312 Ph: (808) 778-5755 | Hawaii Clinical Psychology, Llc 1188 Bishop St Ste 3005 Honolulu HI 96813-3312 Ph: (808) 778-5755 |
| NPI Number | 1649769019 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 08/09/2021 |
| Certification Date | 08/09/2021 |
| Medicare PECOS PAC ID | 3779978531 |
|---|---|
| Medicare Enrollment ID | O20220315001531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649769019 | NPI | - | NPPES |
| N1338916 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PSY-1503 (Hawaii) | Primary |
| Provider Name | Cynthia J'anthony |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346384989 PECOS PAC ID: 8527358456 Enrollment ID: I20160606002311 |
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