Provider Demographics
NPI:1710257217
Name:SAKAI, CAROLINE EMIKO (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:EMIKO
Last Name:SAKAI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 PALI HWY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2206
Mailing Address - Country:US
Mailing Address - Phone:808-753-5797
Mailing Address - Fax:808-536-6868
Practice Address - Street 1:1300 PALI HWY
Practice Address - Street 2:SUITE 204
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2206
Practice Address - Country:US
Practice Address - Phone:808-753-5797
Practice Address - Fax:808-536-6868
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-31
Last Update Date:2011-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY 537103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIQ03969Medicare UPIN