Provider Demographics
NPI:1821036252
Name:ING, DARCY SIU FAH
Entity Type:Individual
Prefix:DR
First Name:DARCY
Middle Name:SIU FAH
Last Name:ING
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:DARCY
Other - Middle Name:S F
Other - Last Name:ING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:1020 S BERETANIA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1428
Mailing Address - Country:US
Mailing Address - Phone:808-545-2740
Mailing Address - Fax:808-545-2852
Practice Address - Street 1:1020 S BERETANIA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1428
Practice Address - Country:US
Practice Address - Phone:808-545-2740
Practice Address - Fax:808-545-2852
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20513103T00000X, 103TC0700X
HIPSY 1259103TC0700X, 103T00000X
101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY 20513OtherSTATE OF CALIFORNIA PSYCHOLOGY LICENSE
CAPSY205130Medicaid
CAPSY205130OtherALAMEDA COUNTY MEDICAL
CAPSY205130OtherALAMEDA COUNTY MEDICAL