Active NPI
Christina Amie McKay
- Marriage & Family Therapist
- Hilo, HI
National Provider Identifier
1043988942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 868
- Practice address
- 402 E Lanikaula St
Hilo, HI 96720-4417 - Phone
- (310) 467-1208
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 868 | HI | Primary |
Addresses
Primary practice location
402 E Lanikaula St
Hilo, HI 96720-4417
Mailing address
402 E Lanikaula St
Hilo, HI 96720-4417
Phone (310) 467-1208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 868 | HI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
Locations
500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1043988942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 E LANIKAULA ST",
"city": "HILO",
"state": "HI",
"postal_code": "967204417",
"telephone_number": "310-467-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 E LANIKAULA ST",
"city": "HILO",
"state": "HI",
"postal_code": "967204417",
"telephone_number": "310-467-1208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "CHRISTINA",
"middle_name": "AMIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-03",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "HI",
"license": "868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.