Jon Fairfax, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD7739 Issued in HI

Practice address

1350 S King St
Suite 325
Honolulu, HI 96814-2008

Phone

(808) 591-9116

Fax

(808) 591-9655

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Advanced Psychiatric Therapeutics

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1285920595
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1053480152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S KING ST",
            "address_2": "SUITE 325",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142008",
            "telephone_number": "808-591-9116",
            "fax_number": "808-591-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S KING ST",
            "address_2": "SUITE 325",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142008",
            "telephone_number": "808-591-9116",
            "fax_number": "808-591-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRFAX",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD7739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01976602",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Fagan
• Maegan Dioquino Fagaragan
• Maria Tersa C Failano, RN
• Fair Clinical Services, LLC
• Katelin Fairchild
• Lori L. Fairfax, N.P.
• Faithcare, LLC
• Faithcare, LLC
• Carlos Fajardo Casals
• Alvin Fajardo

• Psychiatry Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.