KELLY H TAKASAWA, PSYD LLC
NPI 1871001636
Psychologist - Clinical in Honolulu, HI

Q: What is Kelly H Takasawa, Psyd LLC's NPI number?

The NPI number for Kelly H Takasawa, Psyd LLC is 1871001636. It was assigned to this organization in the NPPES registry on January 15, 2018.

Q: What is Kelly H Takasawa, Psyd LLC's specialty?

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

Active since January 15, 2018

1221 KAPIOLANI BLVD STE 211, HONOLULU, HI 96814(808) 538-7793 Get Directions Write a Review

NPPES record last updated: January 15, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kelly H Takasawa, Psyd Llc NPPES

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

KELLY H TAKASAWA, PSYD LLC (NPI 1871001636) is a healthcare organization registered as a clinical in Honolulu, Hawaii and active in the NPI registry since January 2018. The organization lists Kelly Takasawa, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1871001636

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKELLY H TAKASAWA, PSYD LLC

Location Address1221 KAPIOLANI BLVD STE 211Honolulu, HI 96814-3506

Mailing Address1221 Kapiolani Blvd Ste 211Honolulu, HI 96814-3506 · (808) 538-7793 · Fax (808) 538-7799

Phone(808) 538-7793

Organization SubpartNo

Authorized OfficialKelly TakasawaClinical Psychologist · (808) 538-7793

Enumeration DateJanuary 15, 2018

✔ NPI 1871001636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in HI · PSY-1215

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.

Also ListedPsychologist · HealthTaxonomy 103TH0004X · License PSY-1215 (HI)

1221 KAPIOLANI BLVD STE 211, Honolulu, HI 96814

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Kelly H Takasawa, Psyd 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 Kelly H Takasawa, Psyd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelly Takasawa Betwee, PSY.D.

Clinical Psychologist

NPI 1508166877

1221 KAPIOLANI BLVD STE 211
Honolulu, HI 96814

(808) 538-7793

✔ 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 Kelly H Takasawa, Psyd LLC's NPI number?

The NPI number for Kelly H Takasawa, Psyd LLC is 1871001636. It was assigned to this organization in the NPPES registry on January 15, 2018.

Where is Kelly H Takasawa, Psyd LLC located?

Kelly H Takasawa, Psyd LLC is located at 1221 Kapiolani Blvd Ste 211, Honolulu, HI 96814. The listed phone number is (808) 538-7793.

What is Kelly H Takasawa, Psyd LLC's specialty?

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

Is Kelly H Takasawa, Psyd LLC enrolled in Medicare?

Yes. Kelly H Takasawa, Psyd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelly H Takasawa, Psyd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kelly H Takasawa, Psyd 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 Kelly H Takasawa, Psyd LLC was last updated on January 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.