Provider Demographics
NPI:1790157188
Name:RIES, RICHARD I (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:I
Last Name:RIES
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 1:2500 DOLE ST
Mailing Address - Street 2:KRAUSS HALL 101 (UH CENTER FOR CBT)
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2349
Mailing Address - Country:US
Mailing Address - Phone:808-956-6496
Mailing Address - Fax:
Practice Address - Street 1:2500 DOLE ST
Practice Address - Street 2:KRAUSS HALL 101 (UH CENTER FOR CBT)
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2349
Practice Address - Country:US
Practice Address - Phone:808-956-6496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1560103TC0700X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy