| Psychiatry Group Hawaii Ltd | |
|
2855 E Manoa Rd Ste 105 #337 Honolulu HI 96822-1854 | |
| (808) 234-3421 | |
| (808) 797-2422 |
| Full Name | Psychiatry Group Hawaii Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 2855 E Manoa Rd, Honolulu, Hawaii |
| Authorized Official Name and Position | Stacy Nobuko Uyekubo (PRESIDENT) |
| Authorized Official Contact | 8082343421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Group Hawaii Ltd 2855 E Manoa Rd Ste 105 #337 Honolulu HI 96822-1854 Ph: (808) 234-3421 | Psychiatry Group Hawaii Ltd 2855 E Manoa Rd Ste 105 #337 Honolulu HI 96822-1854 Ph: (808) 234-3421 |
| NPI Number | 1265966964 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 03/01/2022 |
| Certification Date | 03/01/2022 |
| Medicare PECOS PAC ID | 8325318868 |
|---|---|
| Medicare Enrollment ID | O20170717002274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265966964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 14770 (Hawaii) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Stacy N Uyekubo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447320031 PECOS PAC ID: 6901805001 Enrollment ID: I20100826000935 |
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