Provider Demographics
NPI:1922508381
Name:RICHARD ROTHSCHILLER, PSY.D., LLC
Entity Type:Organization
Organization Name:RICHARD ROTHSCHILLER, PSY.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTHSCHILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-277-9159
Mailing Address - Street 1:3820 MONTEREY DR
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3920
Mailing Address - Country:US
Mailing Address - Phone:808-277-9159
Mailing Address - Fax:
Practice Address - Street 1:444 HOBRON LN
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1231
Practice Address - Country:US
Practice Address - Phone:808-277-9159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY1034103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty