Active NPI
Timothy Kemp Ambrose, PH.D.
- Clinical Psychologist
- Pahoa, HI
National Provider Identifier
1003913435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-735
- Practice address
- 14-4034 Pahoa-Kalapana Road
Pahoa, HI 96778 - Phone
- (808) 965-9416
- Fax
- (808) 965-1661
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-735 | HI | Primary |
Addresses
Primary practice location
14-4034 Pahoa-Kalapana Road
Pahoa, HI 96778
Mailing address
PO Box 1476
Pahoa, HI 96778-1476
Phone (808) 965-9416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1003913435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1476",
"city": "PAHOA",
"state": "HI",
"postal_code": "967781476",
"telephone_number": "808-965-9416",
"fax_number": "808-965-1661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14-4034 PAHOA-KALAPANA ROAD",
"city": "PAHOA",
"state": "HI",
"postal_code": "96778",
"telephone_number": "808-965-9416",
"fax_number": "808-965-1661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROSE",
"first_name": "TIMOTHY",
"middle_name": "KEMP",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY-735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pahoa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.