Provider Demographics
NPI:1497775225
Name:HASHIMOTO, SCOTT S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:S
Last Name:HASHIMOTO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-128 HUMU ST
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3608
Mailing Address - Country:US
Mailing Address - Phone:808-429-4432
Mailing Address - Fax:
Practice Address - Street 1:1188 BISHOP ST
Practice Address - Street 2:SUITE 2801
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3301
Practice Address - Country:US
Practice Address - Phone:808-429-4432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-748103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIPSY748-01OtherMDX HAWAII
HI053761OtherUNIVERSITY HEALTH ALLIANC
HI535130-01Medicaid
HI990298651-96706-C034OtherTRICARE
HI53513002OtherALOHACARE
HI053761OtherUNIVERSITY HEALTH ALLIANC
HI535130-01Medicaid