Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michelle K. Fukumoto, PHD

Individual provider Clinical Psychologist · NPI 1134436041

Dr. Michelle K. Fukumoto, PHD is a Clinical Psychologist in Honolulu, Hawaii. Qualified in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
13
Licensed in
HI
In the registry since
2010
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1110 University Ave Ste #403
Honolulu, HI 96826
Phone: (808) 594-6217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-1502 (HI)

Record details

NPI number1134436041
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 13, 2010
Last updated in NPPESNovember 12, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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