Provider Demographics
NPI:1326131897
Name:SACHS, ANDREI D (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREI
Middle Name:D
Last Name:SACHS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3960 LURLINE DR.
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816
Mailing Address - Country:US
Mailing Address - Phone:808-754-7496
Mailing Address - Fax:808-734-5328
Practice Address - Street 1:1188 BISHOP ST
Practice Address - Street 2:1711
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3301
Practice Address - Country:US
Practice Address - Phone:808-754-7496
Practice Address - Fax:808-754-6216
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY 957103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical