Active NPI
Kryijztoff Novotnaj, DNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Kaneohe, HI
National Provider Identifier
1013856590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN-6103
- Practice address
- 44-369 Kaneohe Bay Dr
Kaneohe, HI 96744-2664 - Phone
- (808) 862-8796
- NPI assigned
- Mar 27, 2026
- 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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2025111513 | NM | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN825846 | NV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2025111513 | ID | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 100559526 | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN-NP10059526 | OR | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 999999P | ID | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 113720-0 | HI | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 999999P | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2025111513 | NV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2025111513 | WA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 89346 | NM | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN-6103 | HI | Primary |
Addresses
Primary practice location
44-369 Kaneohe Bay Dr
Kaneohe, HI 96744-2664
Mailing address
44-369 Kaneohe Bay Dr
Kaneohe, HI 96744-2664
Phone (808) 862-8796
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113720-0 | HI | MD | Psychiatric/Mental Health Registered Nurse |
| RN825846 | NV | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blum Health LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Honolulu, HI
- NPI 1447128863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1013856590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44-369 KANEOHE BAY DR",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967442664",
"telephone_number": "808-862-8796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44-369 KANEOHE BAY DR",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967442664",
"telephone_number": "808-862-8796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOTNAJ",
"first_name": "KRYIJZTOFF",
"credential": "DNP, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-27",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "2025111513",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NV",
"license": "RN825846",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ID",
"license": "2025111513",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OR",
"license": "100559526",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "APRN-NP10059526",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "ID",
"license": "999999P",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "HI",
"license": "113720-0",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "WA",
"license": "999999P",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "2025111513",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "2025111513",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NM",
"license": "89346",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "HI",
"license": "APRN-6103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.