Provider Demographics
NPI:1558642546
Name:YAP, MICHAEL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:YAP
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:YAP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 235663
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96823-3511
Mailing Address - Country:US
Mailing Address - Phone:808-675-1858
Mailing Address - Fax:
Practice Address - Street 1:1164 BISHOP ST STE 1510
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2817
Practice Address - Country:US
Practice Address - Phone:808-675-1858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2019-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
HI1765103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist