Provider Demographics
NPI:1548332687
Name:TSUSHIMA, WILLIAM T (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:T
Last Name:TSUSHIMA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 WARD AVE
Mailing Address - Street 2:SUITE 840
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1600
Mailing Address - Country:US
Mailing Address - Phone:808-522-4000
Mailing Address - Fax:808-522-3526
Practice Address - Street 1:1100 WARD AVE
Practice Address - Street 2:SUITE 840
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1600
Practice Address - Country:US
Practice Address - Phone:808-522-4000
Practice Address - Fax:808-522-3526
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY-52103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI049576 01Medicaid
HI9511444OtherUHA
HI00X0056429OtherHMSA
HI9511444OtherUHA
HI53805Medicare ID - Type Unspecified