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TRACY M TANIGUCHI PSY D LLC
NPI 1457724031
Psychologist - Clinical in Hilo, HI

Active since November 04, 2015
688 KINOOLE ST, SUITE # 206, HILO, HI 96720(808) 227-7682(877) 795-7918 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 1, 2022, Nov 15, 2022, Jan 13, 2016 (3 updates tracked since 2016).

About Tracy M Taniguchi Psy D Llc NPPES

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

TRACY M TANIGUCHI PSY D LLC (NPI 1457724031), doing business as Tracy M.t. Watanabe, Psy.d.,llc, is a healthcare organization registered as a clinical in Hilo, Hawaii and active in the NPI registry since November 2015. The organization lists Tracy M.t. Yamasaki, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1457724031
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTRACY M TANIGUCHI PSY D LLC
Location Address688 KINOOLE ST, SUITE # 206Hilo, HI 96720-3877
Mailing Address688 Kinoole St, Suite # 206Hilo, HI 96720-3877 · (808) 227-7682 · Fax (877) 795-7918
Phone(808) 227-7682
Fax(877) 795-7918
Organization SubpartNo
Authorized OfficialTracy M.t. YamasakiClinical Psychologist · (808) 227-7682
Enumeration DateNovember 4, 2015
Last NPPES UpdateDecember 1, 20223 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
✔ NPI 1457724031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in HI · 1320
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
688 KINOOLE ST, Hilo, HI 96720
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Other Names 1

Former Legal Business NameTracy M.t. Watanabe, Psy.d.,llc

Other Identifiers 1

Other1013275205HI · Npi Type 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy M Taniguchi Psy D Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tracy M Taniguchi Psy D LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tracy Yamasaki, PSY.D.
Clinical Psychologist
NPI 1013275205
688 KINOOLE ST STE 206
Hilo, HI 96720
(808) 227-7682
✔ PECOS✔ Accepts MedicareSame address

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

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 Tracy M Taniguchi Psy D LLC's NPI number?

The NPI number for Tracy M Taniguchi Psy D LLC is 1457724031. It was assigned to this organization in the NPPES registry on November 4, 2015. The provider was formerly known as Tracy M.T. Watanabe, Psy.D.,llc.

Where is Tracy M Taniguchi Psy D LLC located?

Tracy M Taniguchi Psy D LLC is located at 688 Kinoole St Suite # 206, Hilo, HI 96720. The listed phone number is (808) 227-7682.

What is Tracy M Taniguchi Psy D LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tracy M Taniguchi Psy D LLC enrolled in Medicare?

Yes. Tracy M Taniguchi Psy D LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tracy M Taniguchi Psy D LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Tracy M Taniguchi Psy D LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tracy M Taniguchi Psy D LLC was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.