Active NPI
Jeffrey Scott Sonnega, PH.D.
- Clinical Psychologist
- Honolulu, HI
National Provider Identifier
1013321298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1459
- Practice address
- 475 22ND Ave RM 127
Honolulu, HI 96816-4400 - Phone
- (808) 305-9812
- NPI assigned
- Jun 16, 2014
- Last updated
- Jul 31, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 1459 | HI | Primary |
Addresses
Primary practice location
475 22ND Ave RM 127
Honolulu, HI 96816-4400
Mailing address
475 22ND Ave RM 127
Honolulu, HI 96816-4400
Phone (808) 305-9812
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1459 | HI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1013321298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 22ND AVE RM 127",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968164400",
"telephone_number": "808-305-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 22ND AVE RM 127",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968164400",
"telephone_number": "808-305-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONNEGA",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-16",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "1459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.