Provider Demographics
NPI:1861608879
Name:HAMMATT, KATE C (PSYD)
Entity type:Individual
Prefix:DR
First Name:KATE
Middle Name:C
Last Name:HAMMATT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 S KALAHEO AVE
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2725
Mailing Address - Country:US
Mailing Address - Phone:808-261-8293
Mailing Address - Fax:808-261-4608
Practice Address - Street 1:970 N KALAHEO AVE
Practice Address - Street 2:SUITE A219
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2725
Practice Address - Country:US
Practice Address - Phone:808-778-3422
Practice Address - Fax:808-261-4608
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI837103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000245803OtherHMSA
HI56199501Medicaid
HI100489Medicare ID - Type Unspecified