Individual provider Active NPI

Jessica H. Kojima

  • Clinical Child & Adolescent Psychologist
  • Honolulu, HI
National Provider Identifier
1033468392
Registry record updated Sep 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
742 Hauoli St Apt C
Honolulu, HI 96826-3624
Phone
(808) 651-6324
NPI assigned
Sep 2, 2012
Last updated
Sep 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X NU Primary

Addresses

Primary practice location

742 Hauoli St Apt C
Honolulu, HI 96826-3624

Mailing address

742 Hauoli St Apt C
Honolulu, HI 96826-3624
Phone (808) 651-6324

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346544000000",
    "number": "1033468392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 HAUOLI ST APT C",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263624",
            "telephone_number": "808-651-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 HAUOLI ST APT C",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263624",
            "telephone_number": "808-651-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOJIMA",
        "first_name": "JESSICA",
        "middle_name": "H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2012-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "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 Sep 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.