Kona Therapy Associates Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

KONA THERAPY ASSOCIATES INC.

Practice address

101 Aupuni St.
Ste #118
Hilo, HI 96720-4260

Phone

(808) 961-5500

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bruce A. Hansen, PH.D.

Title

Director

Phone

(808) 961-5500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043386840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AUPUNI ST.",
            "address_2": "STE #118",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204260",
            "telephone_number": "808-961-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUPUNI ST.",
            "address_2": "STE #118",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204260",
            "telephone_number": "808-961-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA THERAPY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-961-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04937802",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04937803",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark K. Koizumi, D.D.S.
• Kokua Counseling Services, Inc.
• Kokua Orthotic Solutions
• Antonio Komotar, LMHC
• Jaimelynn Kuualohalani Kon, PHARMD
• Glenn A Kondo, DCSW LCSW CSAC
• Helene Kong, LMT, CMT
• Kelly N Korn, MSN, FNP-C
• Joan Krakowiak, MSW, LICSW
• Ashleigh Kramer-Walthall

• Psychologist in Hilo, HI
• Providers in Hilo, HI by specialty
• Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.