Provider Demographics
NPI:1487793337
Name:KARI VASEY PSY D INC
Entity type:Organization
Organization Name:KARI VASEY PSY D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARI
Authorized Official - Middle Name:J
Authorized Official - Last Name:VASEY
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:808-226-8011
Mailing Address - Street 1:1188 BISHOP STREET
Mailing Address - Street 2:SUITE 3007
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3312
Mailing Address - Country:US
Mailing Address - Phone:808-226-8011
Mailing Address - Fax:808-732-2008
Practice Address - Street 1:345 QUEEN ST
Practice Address - Street 2:SUITE 900
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4727
Practice Address - Country:US
Practice Address - Phone:808-226-8011
Practice Address - Fax:808-732-2008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY571103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000205062OtherHAWAII MEDICAL SVC ASSN
HI5328301Medicaid
HI0000205062OtherHAWAII MEDICAL SVC ASSN
HI55089Medicare ID - Type Unspecified