ADVANCED PSYCHIATRIC THERAPEUTICS
NPI 1285920595
Psychiatry & Neurology - Psychiatry in Honolulu, HI

Active since June 24, 2011CLIA 12D2095677 · Waiver
1164 BISHOP ST STE 1611, HONOLULU, HI 96813(808) 261-7792(808) 792-0034 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Psychiatric Therapeutics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED PSYCHIATRIC THERAPEUTICS (NPI 1285920595) is a healthcare organization registered as a psychiatry in Honolulu, Hawaii and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through May 7, 2027, maintains a secondary practice location in Ewa Beach, and lists Jeremy D Roberts, President, as its authorized official.

NPPES Registry Identity

NPI1285920595
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameADVANCED PSYCHIATRIC THERAPEUTICS
Location Address1164 BISHOP ST STE 1611Honolulu, HI 96813-2816
Mailing Address1164 Bishop St Ste 1611Honolulu, HI 96813-2816 · (808) 261-7792 · Fax (808) 792-0034
Fax(808) 792-0034
Organization SubpartNo
Authorized OfficialJeremy D RobertsPresident · (808) 261-7792
Enumeration DateJune 24, 2011
Last NPPES UpdateSeptember 26, 2019
✔ NPI 1285920595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in HI · 15632
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1164 BISHOP ST STE 1611, Honolulu, HI 96813

Secondary Practice Location 1

Location 191-2301 Fort Weaver RdEwa Beach, HI 96706-3602 · Phone (808) 664-3744

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Psychiatric Therapeutics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateHawaiiEnrollment IDO20120215000407Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Advanced Psychiatric Therapeutics, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Psychiatry7
Clinical Psychologist4
Neuropsychiatry2
Nurse Practitioner2
Clinical Social Worker1
Marriage and Family Therapist1
Mental Health Counselor1

Clinicians, nearest first (18)

Psychiatry
NPI 1598083057
1164 BISHOP ST STE 1710
Honolulu, HI 96813
(808) 261-7792
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487943486
1164 BISHOP ST STE 1611
Honolulu, HI 96813
(808) 261-7792
✔ PECOSSame address
Neuropsychiatry
NPI 1790282259
1164 BISHOP ST STE 1611
Honolulu, HI 96813
(808) 261-7792
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1750851051
1164 BISHOP ST STE 1710
Honolulu, HI 96813
(808) 261-7792
✔ PECOSSame address
Psychiatry
NPI 1538737572
1164 BISHOP ST STE 1611
Honolulu, HI 96813
(808) 261-7792
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1164714515
1356 LUSITANA ST., 4TH FLOOR UH DEPT. OF PSYCHIATRY
Honolulu, HI 96813
(808) 586-2900
✔ PECOS✔ Accepts Medicare0.4 mi
Psychiatry
NPI 1952789471
1356 LUSITANA ST FL 4
Honolulu, HI 96813
(808) 586-7428
✔ PECOS✔ Accepts Medicare0.4 mi
Mental Health Counselor
NPI 1407311301
1286 KALANI ST STE B204
Honolulu, HI 96817
(808) 723-5931
✔ PECOS✔ Accepts Medicare1.3 mi
Clinical Psychologist
NPI 1225181332
1350 S KING ST SUITE 325
Honolulu, HI 96814
(808) 591-9116
✔ PECOS1.4 mi
Clinical Psychologist
NPI 1255706081
1109 12TH AVE STE 201
Honolulu, HI 96816
(808) 927-8746
✔ PECOS✔ Accepts Medicare4.4 mi
Marriage and Family Therapist
NPI 1366993222
3388 SALT LAKE BLVD 207
Honolulu, HI 96818
(808) 387-2048
✔ PECOS✔ Accepts Medicare4.4 mi
Neuropsychiatry
NPI 1366648230
4211 WAIALAE AVE STE 208
Honolulu, HI 96816
(808) 888-5228
✔ PECOS✔ Accepts Medicare5.3 mi
Clinical Psychologist
NPI 1265587190
407 ULUNIU ST, SUITE 412
Kailua, HI 96734
(510) 684-4950
✔ PECOS✔ Accepts Medicare9.5 mi
Psychiatry
NPI 1598958969
40 AULIKE ST STE 312
Kailua, HI 96734
(808) 664-3744
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1194143537
91-1001 KAIMALIE ST STE 201B
Ewa Beach, HI 96706
(808) 762-0026
✔ PECOS✔ Accepts Medicare10 mi
Clinical Psychologist
NPI 1053767004
1530 MOKULUA DR
Kailua, HI 96734
(773) 301-0348
✔ PECOS✔ Accepts Medicare11 mi
Psychiatry
NPI 1700232022
375 LAGUNA HONDA BLVD
San Francisco, CA 94116
(415) 759-2300
✔ PECOS✔ Accepts Medicare2,394 mi
Clinical Social Worker
NPI 1982789004
1374 NUUANU AVE
Honolulu, HI 96817
(808) 547-4401
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2095677

Advanced Psychiatric Therapeutics LLC · Honolulu, HI
Active · expires May 7, 2027
CLIA Number12D2095677
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2025
Certificate Expiration DateMay 7, 2027
Laboratory DirectorDr. Jeremy D. Roberts
Laboratory Phone(808) 664-3744
Laboratory LocationAdvanced Psychiatric Therapeutics LLC1164 Bishop St Ste 1611, Honolulu, HI 96813
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Psychiatric Therapeutics's NPI number?

The NPI number for Advanced Psychiatric Therapeutics is 1285920595. It was assigned to this organization in the NPPES registry on June 24, 2011.

Where is Advanced Psychiatric Therapeutics located?

Advanced Psychiatric Therapeutics is located at 1164 Bishop St Ste 1611, Honolulu, HI 96813. The listed phone number is (808) 261-7792.

What is Advanced Psychiatric Therapeutics's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Advanced Psychiatric Therapeutics enrolled in Medicare?

Yes. Advanced Psychiatric Therapeutics is registered in the Medicare PECOS enrollment system.

When is Advanced Psychiatric Therapeutics's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Psychiatric Therapeutics?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 7 Medicare specialties reassign their Medicare billing to Advanced Psychiatric Therapeutics. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (7), Clinical Psychologist (4) and Neuropsychiatry (2). Of these, 5 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Psychiatric Therapeutics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2095677) is associated with this NPI, valid through May 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Psychiatric Therapeutics accept?

Health plans from HMSA list Advanced Psychiatric Therapeutics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Psychiatric Therapeutics was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.